1. Employee Resources Center
  2. Workers' Compensation

Workers' Compensation

The HRSS Leaves Administration is responsible for administering the Workers' Compensation Program with all work-related incident/injury reports and all leaves of absence due to a work-related injury 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, complete and return the Employee’s Notice of Injury (WCD-23) and Election of Rate (DP 2002) form via email directly to LeavesWC@nychhc.org;
  4. To receive treatment for a work related injury you must seek treatment from a NYS Workers Compensation Board Participating Physician;
  5. If a health care provider informs you that you cannot return to duty, inform your supervisor and request an extended leave of absence via email directly to HRSSLeaveAdministration@nychhc.org or through Employee Self Service Absence Management module in Peoplesoft.
  6. You must inform HRSS Leaves Administration of your extended absence from work and also when you are ready to return to work from your extended absence.

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.

Workers' Compensation Process

New York State
Workers Compensation Board
Listing of Participating Physicians

NYC Law Department and NYC Comptroller/Bureau of Accountancy/ Workers’ Compensation Direct Deposit

Direct Deposit is available for the transmittal of workers’ compensation benefit payments to your financial institution, issued by The NYC Law Department/Worker’s Compensation Division and Office of the NYC Comptroller/Bureau of Accountancy-Workers’ Compensation Unit.

New York City Comptroller WC Information

Forms

FAQ's

Requesting A Leave of Absence As Workers' Compensation

Employees absent from work due to the work-related injury are responsible for:

  • Requesting a Workers’ Compensation Leave of Absence;
  • Submitting current medical documentation supporting the entire absence due to the work-related injury;
  • Submitting an Election of Rate of Charge Against Annual and/or Sick Leave form (DP-2002).

The above information must be emailed directly to HRSSLeavesAdministration@nychhc.org or through Employee Self SErvice Absence Management module in PeopleSoft.

How to Request Extended Absence

This guide provides steps to submit requests for non-work-related and work-related medical leave of absence. These steps should also be followed to submit leave extensions.

Extended Absence Guide