Workers' Compensation 

For questions or additional information please contact Kathy Gradnigo at (405) 974-5994.  If she can't be reached, please call (405) 974-2216.    

Documents & Forms

Reporting an Injury

Employees:

If you experience an injury or illness within the scope of your employment, you shall file a claim with the UCO Risk Manager within 24 hours of the incident.

1. For life threatening injuries , limb threatening injuries, serious chemical exposures, or needle sticks, call University Police Services. They will initiate proper notifications and arrange for emergency transport to the approved emergency medical facility.

2. All injuries are to be reported to the Supervisor/Designee and the Risk Manager within 24 hours, even if the employee declines treatment.

3. The Risk Manager shall prepare necessary paperwork for medical treatment.

• If the employee requests or needs medical treatment, the Risk Manager will authorize treatment with the approved medical facility (see below).
• If the injured employee declines medical treatment, the refusal will be documented and the employee will be instructed to notify their Supervisor/Designee, and the Risk Manager if medical treatment is needed at a later time.
• The supervisor shall arrange transportation for the employee, if necessary.

4. If no medical treatment is needed, the employee shall complete the Incident Only Form and submit to the Risk Manager within 24 hours of incident.

5. If medical treatment is needed, the employee shall complete the Consent for Release of Protected Health Information and the Mandatory Medicare Reporting Requirement Form.  Both the employee and supervisor shall complete the Occupational Injury or Illness form.  All forms shall be submitted to the Risk Manager within 24 hours of incident if possible. 

6. Any employee that witnesses the incident shall complete the Witness/Co-Workers Statement and submit to the Risk Manager within 24 hours of the incident.

7. Forward any medical or physician's statements to the Risk Manager.

8. Required forms may be requested from the Risk Manager or found on this UCO Workers' Compensation web site under documents and forms.  UCO's Risk Manager will send in the necessary forms to the Workers Comp Administrator, Consolidated Benefits Resources (CBR).  They may send you additional forms and/or follow up with you.

Work Related Injuries Approved Treatment Centers

Monday-Friday from 7:00am - 5:00pm

McBride Clinic-Occupational Health Map

3406 S. Blvd Edmond, OK 73013

(405) 230-9700

After-Hours Emergency Care

McBride After-Hours Emergency Care Map

9600 N. Broadway Extension

Oklahoma City, Ok 73114

(405) 486-2100

If Injured at the Academy of Contemporary Music

McBride Clinic Map

Monday-Friday from 7:00am - 5:00pm

4901 W Reno

Oklahoma City, OK 73127

(405) 230-9250

Emergencies

OU Medical Center Edmond Map

1 South Bryant

Edmond, OK 73034

(405) 341-6100

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