Workers’ Compensation & Leave

Reporting Your Injury/Illness & Procedures for Receiving Treatment 

You are responsible for reporting your injury to the Office of Human Resources and your supervisor as soon as possible. 

Call the Office of Human Resources at 609-771-2118 or 609-771-3414.

Emergency Situations, at any time

• Examples of an Emergency Situation: life or limb is threatened, unconscious person, sustained a trauma, burns, other injury/illness that may require immediate medical attention at an emergency room or trauma center. (This is not an all-inclusive list.)
• Step 1: Immediately call Campus Police at 609-771-2345 using a cell phone or 9-1-1 from any hard-wired campus phone. Campus Police will contact emergency responders to provide aid, and transport to an emergency room if necessary.
• Step 2: You are responsible for reporting your injury to your supervisor and the Office of Human Resources as soon as possible. Call the Office of Human Resources at 609-771-2118 or 609-771-3414 during normal business hours, Monday through Friday, 8:30AM-4:30PM.
• Step 3: Complete the required paperwork (the TCNJ Worker’s Compensation Packet & TCNJ Initial Report of an Employee Injury, the State of New Jersey Employer’s First Report of Accidental Injury or Occupational Disease Form, and the Request for Receiving or Declining State-Authorized Medical Treatment) and submit the forms to the Office of Human Resources as soon as possible. The employee or the supervisor may print out the forms or a hard copy can be provided to the employee at the Office of Human Resources, Administrative Services Building, Suite 101. Your claim of accidental injury or occupational disease will be reported to the NJ Division of Risk Management and a claim number will be assigned.
• Step 4: A Horizon Casualty Services Case Manager will be assigned to you and will serve as your personal service representative. The Case Manager will contact you to address concerns regarding your medical care. The Case Manager is also responsible for coordinating your treatment with the doctor or specialist.
• Step 5: When you are released from the treating physician’s care, you are required to submit medical clearance documentation from the doctor who is treating you, which allows you to return to work. You must communicate with the Office of Human Resources and ensure this documentation has been received before reporting to your work site.

Non-Emergency Situations

• Examples of Non-Emergency Situations are those where the injury/illness can be treated at an urgent care facility (not an ER) including sprains, contusions, minor cuts, chemical exposure, needle stick, other minor injuries, etc. (This is not an all-inclusive list.)
• Step 1: Immediately report your injury or illness to your supervisor.
• Step 2: Your supervisor will instruct you to call the Office of Human Resources at 609-771-2118 or
  609-771-3414. Normal business hours for the Office of Human Resources is Monday through Friday,
  8:30AM-4:30PM.
• Step 3: The employee and supervisor must complete the required paperwork (the TCNJ Worker’s Compensation Packet & TCNJ Initial Report of an Employee Injury, the State of New Jersey Employer’s First Report of Accidental Injury or Occupational Disease Form, and the Request for Receiving or Declining State-Authorized Medical Treatment) and submit the forms to the Office of Human Resources as soon as possible. The forms are on the Office of Human Resources website. (The employee or the supervisor may print out the forms or a hard copy can be provided to the employee at the Office of Human Resources, Administrative Services
  Building, Suite 101). Your claim of accidental injury or occupational disease will be reported to the NJ Division of Risk Management and a claim number will be assigned.
• Step 4: Obtain medical treatment, if requested. The HR Benefits Representative will arrange for you to be treated at Concentra Urgent Care (2542 Brunswick Avenue, Lawrenceville, NJ 08648, (609) 493-5440) or at another approved Initial Treating Provider (A complete list of authorized treatment facilities may be viewed in the Office of Human Resources).
• Step 5: The treating physician at Concentra, or other authorized treatment facilities, will carefully examine you, treat your injury/illness, and determine if work restrictions are necessary. (If so, the Office of Human Resources will be informed and will inform your supervisor). If necessary, you will be referred to a participating specialist.
• Step 6: If you are evaluated or receive treatment at an Initial Treating Provider other than Concentra, it is your responsibility to provide your Work Activity Status Report (or similar document) to the Office of Human Resources following every visit for treatment/evaluation. This medical documentation will detail any work restrictions (see below for more information about work restrictions and accommodations). Each time you see your treating physician you will receive a Patient Treatment and Referral form. Submit this form in person, via email or fax to the Office of Human Resources within 24 hours of receipt.
• Step 7: A Horizon Casualty Services Case Manager will be assigned to you and will serve as your personal service representative. The Case Manager will contact you to address concerns regarding your medical care. The Case Manager is also responsible for coordinating your treatment with the doctor or specialist.
• Step 8: When returning to work for the first time after receiving treatment/evaluation for your injury/illness, you are required to submit medical clearance documentation from the doctor who is treating you, which allows you to return to work. You must communicate with the Office of Human
  Resources and ensure this documentation has been received before reporting to your work site.

Non-Emergency Situations after Normal Business Hours

• In the event that you experience a Non-Emergency and are seeking immediate treatment outside of normal business hours, you may visit an authorized initial treating hospital emergency room, which is open at all times. The closest to TCNJ are:
  • Capital Health Medical Group–750 Brunswick Ave., Trenton, NJ 08638. Phone: (609) 394-6063
  • Capital Health Medical Group–1 Capital Way, Pennington, NJ 08534. Phone: (609) 303-4000
• The employee and supervisor must complete the required paperwork (the TCNJ Worker’s Compensation Packet & TCNJ Initial Report of an Employee Injury, the State of New Jersey Employer’s First Report of Accidental Injury or Occupational Disease Form, and the Request for Receiving or Declining State-Authorized Medical Treatment) and submit the forms to the Office of Human Resources as soon as possible.

Who is Eligible?

• Employees who incur work-related injuries or illnesses are eligible to receive medical treatment through the New Jersey Worker’s Compensation Program. Under this program, the employee’s initial medical treatment is scheduled through the Office of Human Resources and coordinated by Horizon Casualty Services, a managed care service contracted by the State of New Jersey.
• There are no out-of-pocket expenses for the medical services authorized by Horizon Casualty Services. Unauthorized medical expenses elected by the employee shall, however, become the sole responsibility of the employee. It is important to read and follow the procedures as outlined in both the TCNJ Worker’s Compensation Packet & TCNJ Initial Report of an Employee Injury and the State of New Jersey Employer’s First Report of Accidental Injury or Occupational Disease Form to ensure prompt medical treatment.
• Please Immediately report ALL injuries, even if treatment will not be requested. This can help to prevent the potential for a denied Worker’s Compensation claim, if you decide to report at a later date.

Important Information For Workers’ Compensation Claim Approval

• Work Restrictions & Accommodations: Your treating physician at Concentra, or other authorized treatment facilities, will carefully examine you, treat your injury/illness, and determine if work restrictions are necessary.
  • If you are evaluated at Concentra, the Office of Human Resources will receive a Work Activity Status Report from Concentra. If restrictions are indicated on the Work Activity Status Report, the Office of Human Resources will inform your supervisor to determine if the restrictions can be accommodated. You will be notified if you are able to return to work with accommodations. Do not return to work until you are notified.
  • If you are evaluated at an Initial Treating Provider other than Concentra, it is your responsibility to provide your Work Activity Status Report (or similar document) to the Office of Human Resources. If restrictions are indicated on the Work Activity Status Report, the Office of Human Resources will inform your supervisor to determine if the restrictions can be accommodated. You will be notified if you are able to return to work with accommodations. Do not return to work until you are notified.
• Personal Case Manager: Injured employees are assigned a personal case manager, in addition to a Worker’s Compensation Primary Care Physician (PCP). Each case manager is experienced in managing medical care and return-to-work plans for injured workers. They will serve as a personal service contact with Horizon Casualty Services to help facilitate your recovery. You may contact your case manager with any questions at 1-800-985-7777.
• Participating Pharmacies: Any medication prescribed by your PCP can be obtained at Blue Cross Blue Shield member pharmacies throughout the state. More than 98 percent of New Jersey pharmacies are in network.
• Worker’s Compensation Identification Card: A copy of a State of New Jersey Worker’s Compensation Identification Card can be accessed online with the required paperwork (State of New Jersey Employer’s First Report of Accidental Injury or Occupational Disease (RM-2), the TCNJ Worker’s Compensation Initial Report of Employee Injury, and the Request for Receiving or Declining State-Authorized Medical Treatment). Once you receive your claim number from Human Resources, it can be placed on the ID card. The ID card must be presented when you obtain medical services or prescription drugs in connection with
  a job-related injury or illness. You are the only person authorized to use the ID card. Please keep it with you at all times.
• Please review both the TCNJ Worker’s Compensation Packet & TCNJ Initial Report of an Employee Injury and the State of New Jersey Employer’s First Report of Accidental Injury or Occupational Disease Form.

Questions & Concerns

• Questions regarding any aspect of TCNJ’s Worker’s Compensation Program may be directed to the Office of Human Resources at 609-771-2118.
• You may also contact a Horizon Casualty Services representative at 1-800-985-7777, or the State of New Jersey Division of Risk Management at 609-292-3475.
• For more information, please review both the TCNJ Worker’s Compensation Packet & TCNJ Initial Report of an Employee Injury and the State of New Jersey Employer’s First Report of Accidental Injury or Occupational Disease Form.
• Information for Concentra Urgent Care:
  • Address: 2542 Brunswick Pike, Lawrence Township, NJ 08648
    Phone: (609) 493-5440
    Hours: Monday – Friday: 8:00AM – 5:00PM
    (X-rays conducted only if arriving before 4:00PM)
    Saturday & Sunday: Closed
  • Directions from TCNJ: Start out going northeast on Pennington Rd/NJ-31 toward Lake Blvd.
    1. Turn right onto Ewingville Rd/County Hwy-636.
    2. In 1.24 miles, turn left onto Eggerts Crossing Rd.
    3. In 1.46 miles, turn right onto Lawrence Rd/US-206 S. Continue to follow US-206 S.
    4. In 0.5 miles, turn left at the traffic light onto Gainsboro Rd.
    5. Then 0.5 miles, turn right onto Princeton Pike/County Hwy-583.
    6. In 0.4 miles, turn left onto Texas Ave.
    7. In 0.4 miles, turn left onto US Highway 1/US-1 Bus N.
    8. Immediately turn right into the parking lot for Concentra Urgent Care
    Inform Human Resources if transportation is needed. Concentra can provide transportation using a ride
    sharing service (Uber, Lyft, etc.), at no cost to the employee if the Office of Human Resources is notified
    that transportation is needed.