First Report Of Injury/illness Form Page 4
ADVERTISEMENT
1
2
3
4Workers’ Compensation Frequently Asked Questions (FAQs)
Q: What is a work related injury/illness?
A: The Illinois Workers’ Compensation Commission defines it as a system of benefits provided by law to employees
whose injuries arise out of and in the course and scope of their employment. The amount of benefits paid is limited by law.
Not all injuries/illnesses at work are covered by workers’ compensation.
Q: How will I know if my claim is Accepted or Denied?
A: U of I Office of Claims Management makes a compensability decision on each claim as quickly as possible. Depending
upon the completeness of the accident reports and the availability of medical information, this is commonly done within 24
hours of report receipt. You will receive written correspondence advising you of the status of your claim as soon as
compensability is determined.
Q: Will the Office of Claims Management notify my supervisor and payroll office that I my claim was accepted or denied
by workers compensation?
A: NO -
It is your responsibility to inform your immediate Supervisor, Payroll and Human Resources of the status
of your claim so that the appropriate benefits can be applied to your absence from work.
Q: Why do I have to complete and date the First Report of Injury/Illness form in its entirety?
A: Every question that is asked on the Injury/Illness Report is very important information needed to process your claim.
Leaving some fields blank, using an outdated version of the form, or providing vague or conflicting information can delay
handling of your claim and payment of benefits. It may also result in your claim being denied.
Q: How do I submit my Injury/Illness Report to the Office of Claims Management?
A: To expedite handling of your claim the signed and dated Injury/Illness Report should be e-mailed to the Office of
Claims Management at WorkComp@uillinois.edu.
YOU MUST submit a copy of your Injury/Illness Report to your HR Representative and you Campus Safety contact:
UIC reports – Rich Anderson, safe@uic.edu, 223 PSB, MC-645
UIS reports –Dianne Rumme
drumm2@uis.edu
BSB 33B MS BSB 43
UIUC reports – Tom Anderson, tjanders@illinois.edu, 1501 S. Oak Street, MC-821
Q: Where can I obtain medical evaluation and treatment?
A: The Illinois Worker’s Compensation Act allows you to select up to 2 doctors of your choice.
Q: My doctor placed me on restrictions and my department can accommodate the restrictions, what happens if I
decline the temporary restricted work assignment?
A: Your Workers Compensation benefits will cease due to noncompliance.
Q: Will I receive my regular paycheck amount while I am unable to work, due to a compensable illness/injury?
A: Your wages will be calculated at 66 2/3% of your average weekly wage during the 52 weeks preceding the accident or
exposure.
Q: Who is responsible for submitting my time sheet to the Office of Workers’ Compensation?
A: You will be responsible to work with your supervisor and department representative responsible for payroll to make
sure time sheets are submitted to the Office of Claims Management no later than 10 am the Friday before pay week in
order to receive benefits for the duration of your absence.
For further questions about Workers’ Compensation benefits and claims, contact:
Office of Workers’ Compensation and Claims Management
100 Trade Centre Drive, Suite 103, MC-686, Champaign, IL 61820
(217) 333-1080; fax (217) 244-5152; e-mail:
WorkComp@uillinois.edu
Website:
Rev 9/15
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business