Human Resources
 Workers' Compensation

To: All Staff Members
From: Patrice Barnett, Director of Human Resources
Workers' Compensation - General Information

All accidents must be immediately reported to:

• Your Supervisor (if practical)
• The College Physician or Nurse
• The College Human Resources Office

(1) You must first go to the College Medical Office (Campus Center Building) 1C-112D for examination of your injury. The College nurse will send a report of your injury to the College Human Resources Office.

(2) Please click here to complete claim forms.

(3) You will also then fill out an Employee's Notice of Injury form and give the Human Resources Office additional information that will enable us to file the appropriate forms with our insurance carrier, the Workers' Compensation Division of the Law Department of the City of New York. All completed forms MUST be returned to Human Resources (1A-204) within seven (7) calendar days. You may request a copy of the completed forms.

Within 20 workdays after your claim forms have been submitted to the Workers' Compensation Division, they will inform you whether your case has been accepted or rejected. If your case is accepted, they will assign you a Carrier Case number. All parties who have treated you should enter your Carrier Case number and your Social Security number on all their bills. You should submit all bills directly to:

New York City Law Dept./Workers' Compensation Division
350 Jay Street, 9th Floor
Brooklyn, New York 11201-2908

IMPORTANT: Many, but not all, hospitals and/or doctors are willing to accept Workers' Compensation cases. Before treatment is given to you, you must inform the hospital and/or doctor that this is a Workers' Compensation case. The hospital and/or doctor treating you will be paid for their services DIRECTLY by the Workers' Compensation Division of the New York City Law Department. Under no circumstances should you pay any medical bills presented to you.

As an employee, it is your responsibility to notify your immediate supervisor, the Human Resources Office (Ext. 2370) and the Superintendent of Buildings and Grounds (Ext. 3210) of any objects or potentially dangerous conditions that could result in an accident.