Workers’ Compensation
Forms and Resources
- Departmental Injury/Illness Worksheet (PDF)
- Designation of Physician Form (DOC)
- Ecotime Job Aid (PDF)
- Notice to Employees - Injuries Caused By Work (PDF)
- Temporary Accommodation Form (DocuSign)
- Workers’ Compensation Claim Form (DWC1) (PDF)
- Workers’ Compensation Election Form (PDF)
- UC Davis Health 2942 Workers’ Compensation Policy (staff only)
Other Employee Resources
- Benefits
- Employee & Labor Relations at UC Davis Health
- Occupational and Employee Health Clinic
- UC Davis Health Leaves of Absence
- UC Davis Health Payroll Services (intranet only)
- UCPath at UC Davis (academic personnel system)