• UCLA Health
  • myUCLAhealth
  • School of Medicine
UCLA Occupational Health Services

UCLA Occupational Health Services

UCLA Occupational Health Services
  • Flu Season
  • About Us
    • Location/Hours of Operation
    • Resources
    • Occupational Health Leadership
    • Contact Us
    • Employee Flu Prevention Blog
    • UCLA Environment, Health & Safety
    • UCLA Campus Ergonomics
  • BBP Exposure Link
  • Tuberculosis Screening
    • SMH TB Testing Schedule
  • Pre-Placement Evaluations
  • Workers Injury and Illness Care
  • Services Provided
  • Obtaining Copies of Medical Records
  • Forms
  • UCLA Health
  • myUCLAhealth
  • School of Medicine

UCLA Occupational Health Services

Workers Injury and Illness Care

  1. Home
  2. Workers Injury and Illness Care

Workers Injury and Illness Care

Share this

Will Mercado and Jesse Olguin
Refer the employee injured on the job to the Occupational Health Facility (OHF) during regular working hours. After hours, weekends, and holidays refer to Ronald Reagan UCLA Medical Center Emergency Department for EVALUATION AND TREATMENT.

Employees should be provided with:

  • A completed EMPLOYEE'S CLAIM FORM FOR WORKERS' COMPENSATION BENEFITS. This form must be provided within 24 hours of receipt of notice that an injury or illness has occurred as mandated by California State law. (exception: First Aid incidents)
  • A completed EMPLOYEE'S REFERRAL SLIP FOR INDUSTRIAL INJURY AND REPORT OF ACCIDENT
  • UCLA Healthcare Workers' Compensation Pamphlet When An Injury Occurs & Workers' Comp Information Sheet

    Incident Reporting and Referral for Medical Treatment Forms (Fillable pdf)

    Incident Reporting is required and ensures that there is a record on file with the employer. If an employee is injured or develops a job-related illness (developed gradually over time) as a result of their employment at UCLA, they must complete and submit these forms (see highlighted fields). If the employee is unable to complete these forms,the supervisor must complete it on their behalf. If an injury occurs, first aid may be the appropriate treatment.

NOTIFY UCLA Health Human Resources Workers' Compensation at (310) 794-0500 or Risk Management as soon as you are aware that an employee has been taken off work.

NOTIFY your Department Personnel/Payroll representative to begin appropriate payroll process.

Call Occupational Health at (310) 825-6771 to schedule follow up appointments for workers compensation injuries.

Like Us on Facebook Follow Us on Twitter Subscribe to Our Videos on YouTube Follow us on Instagram Connect with Us on LinkedIn Follow us on Pinterest
UCLA Health hospitals ranked best hospitals by U.S. News & World Report
  • UCLA Health
  • Find a Doctor
  • School of Medicine
  • School of Nursing
  • UCLA Campus
  • Directory
  • Newsroom
  • Subscribe
  • Patient Stories
  • Giving
  • Careers
  • Volunteer
  • International Services
  • Privacy Practices
  • Nondiscrimination
  • Billing
  • Health Plans
  • Emergency
  • Report Broken Links
  • Terms of Use
  • 1-310-825-2631
  • Maps & Directions
  • Contact Us
  • Your Feedback
  • Report Misconduct
  • Get Social
  • Sitemap
Like Us on Facebook Follow Us on Twitter Subscribe to Our Videos on YouTube Follow us on Instagram Connect with Us on LinkedIn Follow us on Pinterest