Human Resource Services
Worker´s Compensation
Legal regulations provided in G.S. 97-1 provide
protection and benefits to all employees who are injured through
the course of their job. Coverage provides payment of medical
expenses, and in certain cases, payment of wages for extended absence.
Anyone who receives a UNCG paycheck fits the description of an employee of the university and is entitled to benefits. This includes not only faculty and staff, but also temps and student employees, etc.
Worker's Compensation inquiries should be directed to Melissa Barnes, 334-4345.
Worker's Compensation Resources
Worker's Compensation Forms
- Form 19 - Employer's Report of Injury to Employee (.doc)
- Form 18 - Notice of Accident to Employer (.doc)
(may also be obtained in other versions and in Spanish on the NCIC website at www.comp.state.nc.us) - Employee Statement Form (.pdf)
- Form 301 - UNCG Accident\Injury\Illness and Near Miss Report (.doc)
Note: For Form 19 and HRS Form 301 - please submit original to Human Resource Services. Send copies to: Office of Safety, Department, and Employee.
*Please note: some items require the Adobe Acrobat PDF Reader, which can be downloaded from the Adobe web site.
*Please note: some items require a free Microsoft Office Viewer, which can be downloaded from the Microsoft web site.