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Workers Compensation Coordinator
Human Resources, CL 710 
2420 Nicolet Drive
Green Bay, WI 54311-7001

Phone: (920) 465-2390
Fax: (920) 465-5104

Fact Pages

Facts regarding worker's compensation, lost time and links to outside resources:
Medical Only
Lost Time

Required Forms

Instructions for Required Forms

  1. For the Employee:
  2. For the Supervisor:
  3. For the Employee and Supervisor:

For additional information: or if you need additional forms please visit the State of Wisconsin Department of Workforce Development page entitled Workers Compensation forms List and Order Form or visit the Worker's Compensation Forms Library.

On-Campus Care

On-campus rehabilitation and injury care program

Filing Requirements

More information regarding the requirements for filing a claim.

Related Sites

UW Green Bay Human Resources
The University of Wisconsin System Administration OSLP
Wisconsin Worker's Compensation Division