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.
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:
your supervisor, and
- Human Resources at email@example.com or (415) 422-4801
Failure to report an injury or illness in a timely way may jeopardize or delay your rights to certain benefits.
If you are injured, you are eligible to be seen immediately for medical care. Call and make an appointment at one of the two treatment rooms below. Both specialize in Occupational Medicine.
Franciscan Treatment Room
- PH 415-353-6305
- 1199 Bush St, Suite 160
- San Francisco CA 94109
- HOURS M-F 7:30 am to 5:00 pm
Kaiser on the Job (Kaiser members only)
- PH 415-833-9600
- 601 Van Ness Ave, Suite 2008
- San Francisco, CA 94102
- HOURS M-F 8:30 am to 5:00 pm
There are two forms required to file a claim with Travelers:
1. DWC1 Form
Please return these forms to Jill Bouchard at firstname.lastname@example.org. You may seek medical care prior to returning these two forms.
Medical Provider Network
You may be seen by a doctor in the Traveler’s Medical Provider Network (MPN). Find instructions on finding a provider in the network HERE. A provider in the Medical Provider Network (MPN) must be used for treatment unless you have predesignated a personal physician for treatment of work-related injuries or illnesses. To predesignate a provider for such instances, you must have the provider sign the predesignation form and submit it to Human Resources at email@example.com before reporting an incident. The predesignation form starts on page four of Travelers’ Workers’ Compensation Benefits document, which can be accessed here.
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.