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.

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-related injury or illness occurs, you must inform your supervisor and Human Resources at leaves@usfca.edu  Failure to report an injury or illness in a timely way may jeopardize or delay your rights to benefits.

INJURED EMPLOYEE

Care will be coordinated by a provider in the Traveler’s Medical Provider Network (MPN)

  • 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.
  • Alternatively, you may be seen at another provider in the Travelers’ Medical Provider Network

    Franciscan Treatment Room
  • PH 415-353-6305
  • 1199 Bush St, Suite 160, San Francisco CA 94109
  • HOURS:  M-F 7:30 am to 4:00 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 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.

Additional Information:

Summary of workers' compensation benefits (English)

Summary of worker’s compensation benefits (Spanish)

Medical Provider Network Notice including pre-designation form*

*You may see a medical provider out of the MPN network only if you have appropriately filed a pre-designation form with HR.