Safety & Environmental Management

Overview

Contact

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

Phone: (920) 465-2390
Fax: (920) 465-5104
Email: hr@uwgb.edu

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:
   • Employee's work injury and illness report
2. For the Supervisor:
   • Supervisor accident analysis and prevention report
3. For the Employee and Supervisor:
   • Employer's first report of injury or disease

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