All Radford University employees are eligible to receive compensation for lost wages and medical benefits under the Virginia Worker’s Compensation Act for a work-related injury/illness. Contact the Benefits Office at 540-831-6110 or firstname.lastname@example.org with any questions or if assistance is needed.
Supervisors must complete the Employer's Accident Report (EAR) | PDF within 24 hours of a report of injury/illness. Supervisors should refer to the supervisor’s checklist | PDF as well as the instructions for completing the EAR form | PDF for assistance. Do not delay obtaining medical assistance for the injured employee in order to complete the EAR. Even if the reported injury is minor and immediate medical treatment is not required the supervisor must report the injury/illness by completing the EAR and submitting the documents to Human Resources.
You may fax the completed form to Human Resources at 540-831-6278, send the form via campus mail to Box 6889, or hand-deliver the completed form to the HR office at 314B Tyler Avenue. Departments/offices not located on the Radford main campus should fax the completed form and may follow-up by mailing the original form to Human Resources, Radford University, P.O. Box 6889, Radford, VA, 24142
Note: Do not email the completed form due to the sensitive information.
Employees must report the injury/illness to their supervisor as soon as possible after the incident occurs. In addition, employees must keep the supervisor informed of any doctor appointments, treatments, or absences relating to the worker's compensation claim. Even if the employee does not seek medical treatment or thinks the injury is insignificant he/she is required to report the injury/illness to the supervisor as soon as possible.
- Employer's Accident Report (EAR) | PDF
- Panel Selection Physician Form | PDF (must be presented to and signed by the employee regardless of whether the employee seeks medical treatment or not)
- Supervisors Incident and Witness Statement Form | PDF
- Employee’s Instructions for Filing a Workers Compensation Claim | PDF
Additional Worker's Compensation Forms:
- WC Time Missed/Return to Work Form | PDF
- WC Request for Mileage Reimbursement | PDF
- WC Request for Prescription Drug Reimbursement | PDF
- Physical Demands Form | PDF|
The Worker's Compensation Fact Sheet | PDF provides additional information for full-time employees and the Worker's Compensation Fact Sheet for Wage/Part-Time Employees | PDF provides additional information for wage and part-time employees. If you have questions, concerns, or need assistance, please contact the Benefits Office at 540-831-6110 or email@example.com.