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 below. Kaiser-On-The Job is available to Kaiser members AND non-members.

Franciscan Treatment Room

  • PH 415-353-6305
  • 1199 Bush St, Suite 160
  • San Francisco CA 94109
  • HOURS M-F 7:30 am to 4:30 pm

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 5:00 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.