Office of Student Affairs

Instructions for Reporting Work Related Injury and Illness for Medical Students

  1. Notify your senior resident or attending physician immediately.
  2. Seek medical treatment, as directed by your resident or attending physician, as soon as possible. If possible, utilize a University provider, such as the Occupational Health Nurse or the Emergency Room. However, if you are working in a health care setting outside of the University, it is permissible to utilize the emergency department services at that location. Indicate to your health care provider that this incident will be covered by the Workers Compensation Fund of Utah (WCFU).
  3. Obtain a copy of the Employers First Report of Injury or Illness form from your health care provider or from the University of Utah Human Resources website . Have your senior resident or attending physician sign the form. Sign the form using your name and social security number as it appears on your School of Medicine registration. Return the form to the University of Utah Benefits Department (420 Wakara or Fax: 585-7375). It is important to file the First Report of Injury form within 24 hours of injury.
  4. Tell your health care provider the same information you gave your resident about the accident and ask him/her to immediately send all relevant information to the Workers Compensation Fund of Utah and the Industrial Commission.
  5. Inform your resident or attending physician of the outcome of your treatment(s). Any note releasing you from work must be provided to your clerkship coordinator/director, who should then notify your attending physician and the Office of Student Affairs.
  6. It is important that you inform your WCFU claims representative or the benefits Department about any change or update with your current mailing address, whereabouts, and treatment(s).
  7. Be aware that additional medical services may need pre-authorization (check with your WCFU claims representative or the University Benefits Department). Be sure to tell the professionals providing these services that you are insured by WFCU.