Workers' Compensation

Workers’ Compensation insurance is a statutory state-regulated employment benefit that offers coverage if an employee becomes injured or ill in the course of their employment. Workers’ compensation provides for any medical care, rehabilitation and lost wages due to an employee’s on-the-job injury or illness.

If an employee is injured at work, a Notice of Injury Form must be completed. The employee’s Notice of Injury Form, any doctor’s notes received for whole days taken related to the injury or illness, and a copy of the employee’s job description must be submitted to the Leaves Management Administrator at RFCUNY.

Once the Notice of Injury Report is reported to the insurance company, an employee will be assigned a Workers’ Compensation claim number. An employee must refer to the claim number when seeking medical attention. No out-of-pocket payment for medical services is required of an employee. An employee will receive a letter from RFCUNY’s Workers’ Compensation carrier with instructions on how to submit claims for any medical services incurred as a result of their injury.

Essential Forms

Disability & Leaves of Absence Forms