All Columbia University employees are covered by the New York State Workers' Compensation Law. Workers' Compensation is insurance that will provide you with cash and/or medical care if you have been injured or become ill as a direct result of your job. Claims for Workers' Compensation may be filed in situations where you just want to report that an incident occurred as well as for those incidents that require a medical leave of absence.
Submit Accident Report
First, if needed, seek medical attention. Second, report the accident to your supervisor. And then fill out the Accident Report form within 24 hours of the incident:
Download and print the Accident Report Form
Complete all sections of the form
Scan and email the form to:
- And your Departmental HR contact or your supervisor
After the Accident Report Form is completed, your Departmental HR Contact will file a claim with the Workers’ Compensation insurance carrier on your behalf. Further review of the incident may be initiated by your supervisor, Department or someone from Environmental Health and Safety.
If you will be absent from work due to your injury, follow the instructions below.
If Absent from Work:
Remember: Seek medical attention if you need immediate help.
You should report the incident to your supervisor, and complete a Accident Report Form for Workers’ Compensation Benefits.
Complete this form within 24 hours of the incident to avoid any delays in the process.
If you will be absent from work, please complete the following steps:
- If you will be absent from work due to your injury, ask your Departmental HR contact to provide you with any applicable forms to complete. You will return the forms to CUHR Leave Management Office.
- You will also need to provide your supervisor and CUHR Leave Management with a doctor’s note to cover your absence. You must keep your supervisor and the Leave Management Officer properly updated on your return-to-work date.
If you need medical treatment, you should seek medical attention immediately at a location most convenient to you. Please note that any private physician authorized by the Workers' Compensation Board can be used.
Mount Sinai St. Luke’s Emergency Room
1111 Amsterdam Avenue
New York, NY 10025
Workforce Health and Safety
1st floor Harkness Pavilion
Open Monday-Friday, 8:30 a.m. to 4:30 p.m.
Note: You must have a Columbia University ID to be seen.
New York Presbyterian Hospital Emergency Room
630 West 168th Street
New York, NY 10032
160 N Midland Ave
Nyack, NY 10960
For All Employees
If you are eligible for leave under the Family and Medical Leave Act (FMLA), FMLA will run concurrently with Workers’ Compensation
Officer of Administration
Full-Time Officers of Administration, including those in an Eleven-Month Program: eligible for a paid medical leave for up to six months (salary continuation) during any rolling 12-month period when extended absence is caused by a work related accident or illness. Workers’ Compensation will run concurrently.
Officers of Instruction, Research and Libraries
All Other Officers of Administration, including Nine-Month, Ten-Month Part-Time Officers of Administration, and Non-Union Support Staff
You may be eligible for partial payment by Workers' Compensation, as determined by New York State law based on Workers' Compensation guidelines.
Union Support Staff
Per the Collective Bargaining Agreement (CBA), paid leave may be available. Employee’s eligible for paid leave by the University will remit any payments received by Workers’ Compensation to the University. The CBA should be consulted for more information.
When receiving treatment for a workplace injury, you will not need to pay the doctor or hospital and your private insurance should not be billed. If any charges are incurred, you should save all receipts and mail them to our insurer, PMA, for processing. Employees working out of state should contact the CUHR Leave Management Office.
PMA Customer Service Center
P.O. Box 5231 Janesville, WI 53547-5231
Telephone: (888) 476-2669
Prior to returning to work, submit medical certification from your physician (doctor's note) to the CUHR Leave Management Office and appropriate carrier (PMA for Workers' Compensation or Cigna for NYSDBL). Please also reach out to your Departmental HR contact to provide an update on your return to work.
If you require a workplace accommodation, contact the CUHR Leave Management Office to coordinate with you and your department prior to your return to work.