Workers' Compensation

The HR Leaves Administration is responsible for administering the Workers' Compensation Program and all leaves of absence for NYC Health + Hospitals. We focus on the health and safety of our employees while striving to provide a high level of case management services.

Employee

We are so sorry you were involved in a work-related injury or illness. Here is what you need to do:

  1. Seek medical treatment or first aid, if needed;
  2. Immediately, you must notify your supervisor of the incident verbally when it occurs: what, when, where, and how you were injured, include who witnessed this incident;
  3. Within 24 hours of incident, obtain from your supervisor, complete and return the Employee Report of Accident/Injury; and
  4. If a health care provider informs you that you cannot return to duty, obtain from your supervisor, complete, and return an Election of Rate Form (DP 2002).
  5. Contact your Leave Administrator to inform her/him of your absence from work and also when you are ready to return to work.
  6. To receive treatment for a work related injury you must seek treatment from a NYS Workers Compensation Board Participating Physician.

Supervisor

When an employee reports a workplace injury or illness to you:

  1. Ask the employee to complete the Employee Report of Accident/Injury
  2. Advise the employee to seek medical treatment or first aid, if needed;
  3. Complete Supervisor's Report of Occupational Accident/Injury form 1615
  4. If there are any witnesses, obtain a Witness Statement Form WCD-26 for their completion and submission;
  5. Complete authorization for employee to seek assessment with OHS if applicable;
  6. Submit completed Supervisor's Report, Employee's Report, Witness Statement(s) and OHS Report to LeavesWC@nychhc.org within 48 hours of the incident.

Forms

FAQ's