Employee responsibility
h2
<ol>
<li><strong>Report the injury.</strong>
<ul>
<li>Contact your supervisor immediately and report the injury.</li>
<li>Review Nevada Division of Industrial Relations' <a href="http://dir.nv.gov/uploadedFiles/dirnvgov/content/WCS/d-2.pdf" title="D-2" class="extLink">D-2 Brief Description of Your Rights and Benefits if You Are Injured on the Job.</a></li>
<li>Complete the <a href="http://dir.nv.gov/uploadedFiles/dirnvgov/content/WCS/BetaC-1.pdf">C-1 Notice of Injury Form</a><span> and submit it to the University's Risk Management office (</span><a href="mailto:BCNRisk@unr.edu" target="_blank" rel="noopener">BCNRisk@unr.edu</a><span>) OR the NSHE Risk Management office team with the appropriate signatures as soon as possible. (Please leave the Social Security Number Field blank).</span></li>
<li>Seek Appropriate Medical Care - For non-emergency care, go to one of the locations below.</li>
<li style="list-style-type: none;"></li>
</ul>
</li>
<li><strong>If treatment is received, file a Workers’ Compensation Claim.</strong>
<ul>
<li>During your initial medical evaluation, alert the medical staff if your injury/illness is work-related.</li>
<li>Employees will complete a C-4 form with the medical provider.</li>
<li>The medical provider will submit a completed C-4 to the employer to initiate the workers’ compensation process.</li>
</ul>
</li>
<li><strong>If applicable, follow-up on medical care and light duty.</strong>
<ul>
<li>After each appointment with the treating physician, all medical certifications of work status (restrictions, full-duty release, etc.) must be submitted to the supervisor and the Risk Management Department.</li>
<li>Once notified of the availability of a modified-duty assignment, the employee must return to work on the date established by the department and/or Risk Management office.</li>
</ul>
</li>
</ol>
Top