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<div class=Section1>
<p class=MsoNormal><span style='color:#1F497D'><img width=431 height=92
id="Picture_x0020_1" src="cid:image003.png@01CA1BF3.1017F990"><o:p></o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p>
<p style='margin-top:0in'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>August
13, 2009<o:p></o:p></span></p>
<p style='margin-top:0in'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>To:
MSOs, Managers, Supervisors and Departmental Personnel/Benefits Assistants <o:p></o:p></span></p>
<p style='margin-top:0in'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>From:
Labor Relations & Workers’ Compensation Office<o:p></o:p></span></p>
<p style='margin-top:0in'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Subject:
Reporting for Work-Incurred Injuries<b><o:p></o:p></b></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>********************************************************************************************************<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt;
font-family:"Arial","sans-serif"'>The University of California's mission is to provide
a safe working environment for all employees and to minimize the adverse impact
of work-incurred injuries. In this effort we require the campus to report
work-incurred injuries within <b>24 hours of the time of incident</b>. Our goal
in requiring the timely reporting of incidents is to promote prompt
notification of unsafe conditions so immediate and appropriate remediation can
take place.<o:p></o:p></span></p>
<p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt;
font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt;
font-family:"Arial","sans-serif"'>There are 2 ways to report a work-incurred
injury:<o:p></o:p></span></p>
<p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt;
font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoListParagraph style='text-indent:-.25in;mso-list:l0 level1 lfo2'><![if !supportLists]><span
style='font-size:10.0pt;font-family:"Arial","sans-serif"'><span
style='mso-list:Ignore'>1.<span style='font:7.0pt "Times New Roman"'>
</span></span></span><![endif]><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Incident
Report Form – the form can be downloaded via the Human Resources
website: <span style='color:navy'><o:p></o:p></span></span></p>
<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Arial","sans-serif";color:navy'><a
href="http://www.humanresources.ucr.edu/?content=ProgramsAndServices/workerscomp/WorkersCompensationForms.htm">http://www.humanresources.ucr.edu/?content=ProgramsAndServices/workerscomp/WorkersCompensationForms.htm</a><o:p></o:p></span></p>
<p class=MsoListParagraph><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>In
the event of a work-incurred injury, the employee and supervisor need to fill
out an Incident Report form<span style='color:navy'> </span>and fax or e-mail
it to Labor Relations & Workers’ Compensation Office.<o:p></o:p></span></p>
<p class=MsoListParagraph style='margin-left:0in'><span style='color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoListParagraph style='text-indent:-.25in;mso-list:l0 level1 lfo2'><![if !supportLists]><span
style='font-size:10.0pt;font-family:"Arial","sans-serif"'><span
style='mso-list:Ignore'>2.<span style='font:7.0pt "Times New Roman"'>
</span></span></span><![endif]><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>UC
Telephonic Claim Reporting – 1-877-682-7778 (1-877-6UC-RPRT)<span
style='color:#1F497D'>. </span>Available 24 hours a day, seven days a week.<o:p></o:p></span></p>
<p class=MsoNormal style='margin-left:.25in;text-indent:.25in'><span
style='font-size:10.0pt;font-family:"Arial","sans-serif"'>The<span
style='color:#1F497D'> i</span>njured employee or supervisor can now report a
work-incurred injury by calling UC Telephonic Claim Reporting. This
service is free and provided by UCOP Risk Services.<o:p></o:p></span></p>
<p class=MsoListParagraph><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>As
a reminder, when the injured employee needs medical attention, medical
treatment can be obtained at one of the following medical providers:<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:#231F20'><o:p> </o:p></span></p>
<p style='margin:0in;margin-bottom:.0001pt;text-indent:.5in'><b><span
style='font-size:10.0pt;font-family:"Arial","sans-serif"'>PARKVIEW OCCUPATIONAL
MEDICINE:</span></b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'><o:p></o:p></span></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>9041
Magnolia Ave., Ste<span style='color:navy'>.</span> 107<o:p></o:p></span></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Riverside,
CA 92503<o:p></o:p></span></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Phone:
(951) 353-1021<o:p></o:p></span></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Hours:
Weekdays: 8 a.m. to 9 p.m.; Weekends: 9 a.m. to 6 p.m.<o:p></o:p></span></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>After
hours call (951) 351-7726 <o:p></o:p></span></p>
<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:#231F20'><o:p> </o:p></span></b></p>
<p style='margin:0in;margin-bottom:.0001pt;text-indent:.5in'><span
style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Or<o:p></o:p></span></p>
<p style='margin:0in;margin-bottom:.0001pt;text-indent:.5in'><span
style='font-size:10.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p style='margin:0in;margin-bottom:.0001pt;text-indent:.5in'><b><span
style='font-size:10.0pt;font-family:"Arial","sans-serif"'>CENTRAL OCCUPATIONAL
MEDICINE PROVIDERS (COMP):</span></b><span style='font-size:10.0pt;font-family:
"Arial","sans-serif"'><o:p></o:p></span></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>4300
Central Avenue<o:p></o:p></span></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Riverside,
CA 92506<o:p></o:p></span></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Phone:
(951) 222-2206<o:p></o:p></span></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Hours:
24 hours – 7 days a week<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:#231F20'>
Transportation can be requested by calling this facility in advance.<o:p></o:p></span></p>
<p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt;
font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt;
font-family:"Arial","sans-serif"'>The Workers’ Compensation policy,
website, any related posters, and other publications are available at:<o:p></o:p></span></p>
<p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt;
font-family:"Arial","sans-serif";color:navy'><a
href="http://humanresources.ucr.edu/?content=ProgramsAndServices/WorkersComp/AboutWorkersComp.htm">http://humanresources.ucr.edu/?content=ProgramsAndServices/WorkersComp/AboutWorkersComp.htm</a><o:p></o:p></span></p>
<p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt;
font-family:"Arial","sans-serif";color:navy'><o:p> </o:p></span></p>
<p class=MsoNormal style='text-align:justify'><span style='font-size:10.0pt;
font-family:"Arial","sans-serif"'>Please inform all employees in your
department<span style='color:navy'> </span>regarding this scotmail.
Should you have questions, please feel free to contact Nini Furst in the Labor
Relations and Workers’ Compensation office at ext. 2-4207 or via e-mail
at: <a href="mailto:nini.furst@ucr.edu" title="mailto:nini.furst@ucr.edu">nini.furst@ucr.edu</a><span
style='color:navy'>.</span><o:p></o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal align=center style='text-align:center'><span
style='font-size:14.0pt'>***<o:p></o:p></span></p>
<p class=MsoNormal><o:p> </o:p></p>
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