Workers' Compensation

USF provides coverage through the Travelers Indemnity Company for employees who experience work-related injuries and illnesses. Workers compensation is intended to provide medical care and wages for lost time resulting from work-related injuries and illnesses caused by an employee’s work.

Procedures

In the event of a life-threatening or limb-threatening medical emergency, call (415) 422-2911 if working on campus or 911 if working off campus. Additionally and immediately after a work work-related injury or illness occurs, you must inform:

Failure to report an injury or illness in a timely way may jeopardize or delay your rights to certain benefits.

INJURED EMPLOYEE

  • If you are injured, you are eligible to be seen for medical care at an occupational medical clinic.
  • Call and make an appointment at one of the two clinics listed below.
  • Kaiser-On-The Job is available to both Kaiser AND non-Kaiser members.

Franciscan Treatment Room

  • PH 415-353-6305
  • 1199 Bush St, Suite 160
  • San Francisco CA 94109
  • HOURS:  M-TH 7:30 am to 4:00 pm (Closed on Fridays)

Kaiser-on-the-Job

  • PH 415-833-9600
  • 601 Van Ness Ave, Suite 2008
  • San Francisco, CA 94102
  • HOURS:  M-F 8:30 am to 4:30 pm

There are two forms required to file a claim with Travelers:

1.       DWC1 Form 

2.       Work Comp Injury Report  

Please return these forms to Jill Bouchard at leaves@usfca.edu. You may seek medical care prior to returning these two forms.

Medical Provider Network

You must be seen by a doctor in the Traveler’s Medical Provider Network (MPN). Instructions for finding a network provider are available here. A provider in the Medical Provider Network (MPN) must be used unless you have a pre-designation form on file with HR designating a personal physician for treatment of work-related injuries or illnesses. Completed forms should be emailed to leaves@usfca.edu.

For more information, including a summary of workers' compensation benefits and more information about the Medical Provider Network (MPN), please visit the HR forms web page.