Work-Related Injury

All work related injuries must be reported to the Office of Employee Benefits within 48 hours by completing the Accidental Injury Form.  University Police will assist when service at the Office of Employee Benefits is not available. They will recommend and approve further treatment. 

More detailed information can be found at 

General Procedures

There are occasions in which an employee may sustain an injury while performing his/her job duties. We want to insure that such injuries are treated promptly and properly. Following are the procedures to be followed by University employees in the event of a work-related accident/injury in order that, where appropriate, SLI and/or Workers Compensation Benefits may be forthcoming to cover such situations. Sick Leave Injury pays the employee full salary for up to one year while he/she is on approved leave. After that period of time, Workers Compensation takes over and pays a percentage of the employee's salary.

The State of New Jersey has selected Horizon Casualty Services to provide a managed care program to administer the University's Workers' Compensation claims. An injured employee must follow the reporting procedures set forth below and seek treatment in accordance with this managed care program. Employees who do not comply with these procedures will be responsible for any unauthorized medical bills.

  • In the event that you are injured in the course of your employment, you are required to notify your immediate supervisor and then proceed to the Benefits Office. Any employee who sustains a work related injury must report to the Benefits Office in College Hall 314B to initiate the accident reporting process. From there the Benefits Office may direct an employee to Immedicenter or Concentra Medical Center. In the case of an emergency, EMS is to be immediately contacted and the employee is to be treated or transported by them to a nearby hospital.
  • The Benefits Office hours are Monday through Friday 8:30 a.m. to 4:30 p.m. Summer hours are Monday through Thursday 8 a.m. to 5:15 p.m. If the Benefits Office is closed, the mechanism for reporting such incidents is to report to the Immedicenter at 1355 Broad St., Clifton, NJ. They remain open until 10pm on weekdays and on Saturday and Sunday their hours are from 8am to 5pm.
  • In order for you to be considered for Workers' Compensation Benefits, a State of N.J. accident report (form RM-2) must be completed and submitted to the Benefits Office within 48 hours after the injury occurred in accordance with State regulations. Employees may obtain the form from either the Benefits Office or the University Health Center..

Prior to any absence due to a work-related injury being approved, the employee must have followed the above required procedures. It is the employee's responsibility to provide the proper medical documentation from an approved physician supporting the absence to the Benefits Office in timely fashion.

In the rare instance in which there is reason to believe that work-related sick leave is being abused, the University or its designee may choose to conduct an investigation. If the University concludes that there has been abuse, disciplinary action, up to and including termination will be taken. In addition, where appropriate, the matter will be referred to the State of New Jersey's Attorney General Office for legal action.

To apply for this benefit, an employee must contact the Benefits Office in the Division of Human Resources. The Benefits Office is the liaison to the Bureau of Risk Management in facilitating the payment process. The approval and payment process is strictly administered by the Bureau of Risk Management.

http://www.montclair.edu/human-resources/about-us/benefits-and-payroll-services/benefits-services/work-related-injury/