There are occasions in which an employee may sustain an injury while performing his/her job duties. We want to ensure that such injuries are treated promptly and properly. The State of New Jersey has selected Horizon Casualty Services to provide a managed care program to administer the University’s Workers’ Compensation claims.
What to Do If You Are Injured
Emergency Work-Related Injuries
In the case of an emergency, contact Campus Police at 973-655-5222 and Campus Police will dispatch Emergency Medical Services.
- Immediately notify your direct supervisor and the Benefits Office in the Division of Human Resources at 973-655-3837 or e-mail hr-benefits@montclair.edu and report injury.
- Complete and submit RM-2 form within 48 hours to the Benefits department at hr-benefits@montclair.edu.
- The EMS unit will transport the employee via ambulance to the nearest hospital or treat the injury onsite.
Non-Emergency Work-Related Injuries
- Immediately notify your direct supervisor and the Benefits Office in the Division of Human Resources at 973-655-3837 or e-mail hr-benefits@montclair.edu and report injury.
- Complete and submit RM-2 form within 48 hours to the Benefits department at hr-benefits@montclair.edu.
- Employee or his/her supervisor will contact Concentra Urgent Care located at 283 Piaget Ave Clifton, NJ at (973) 772-3930 to request transportation. A SMS text message is sent to the injured employee’s cell phone with information regarding arrival time and pick up location. The employee is picked up at a designated area on campus.
- During checkout, a Concentra staff member will arrange another ride for the employee. The driver will transport the employee back to Montclair State University campus, or to their home if the home address is within a 25-mile radius of Concentra Urgent
Accident Report Form
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.
Treatment
An injured employee must follow the reporting procedures set forth 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.
- The Concentra Medical Center
- 283 Piaget Avenue, Clifton, NJ., hours are Monday through Friday 8 a.m. to 7 p.m.
- The Immedicenter
- 1355 Broad St., Clifton, NJ. remains open until 10 p.m. on weekdays and on Saturday and Sunday their hours are from 8 a.m. to 5 p.m. for employees who have incurred an injury after work hours.
- In the case of an emergency, EMS is to be immediately contacted and the employee will be treated or transported by them to a nearby hospital.
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.
Medical Emergencies
The following are some signs and symptoms that require immediate medical attention. If you observe the following, Contact Campus Police at 973-655-5222 right away.
- Chest pain or difficulty breathing
- Weakness/numbness on one side
- Slurred speech
- Fainting/change in mental state
- Serious burns
- Serious head or eye injury
- Broken bones (obvious)
- Inability to walk
- Severe bleeding
- Severe pain
- Severe allergic reaction
- Psychiatric disturbance such as anxiety, speech not making sense, depression
- Chemical exposures or trauma (ex. Employee fell)
- Any injury where moving the employee could cause further harm
MSU MUST CONTACT PUBLIC EMPLOYEES OCCUPATIONAL SAFETY AND HEALTH (PEOSH)
- Report all work-related fatalities to PEOSH within eight (8) hours.
- Report all work-related in-patient hospitalizations, amputations, and losses of an eye to PEOSH within twenty-four hours.
24 Hour PEOSH Reporting Hotline: 800-624-1644, FAX: 609-292-3749
Emergency Work-Related Injuries
In the case of an emergency, contact Campus Police at 973-748-9000 x1336 or 1-800-809-2222 or Bloomfield Police 973-680-4141 and the Police will dispatch Emergency Medical Services.
- Immediately notify your direct supervisor and the Benefits Office in the Division of Human Resources at 973-748-9000 x1400 or e-mail daceys@montclair.edu and report injury.
- Complete and submit RM-2 form within 48 hours to the Benefits department at hr-benefits@montclair.edu or daceys@montclair.edu
- The EMS unit will transport the employee via ambulance to the nearest hospital or treat the injury onsite.
Non-Emergency Work-Related Injuries
- Immediately notify your direct supervisor and the Benefits Office in the Division of Human Resources at 973-748-9000 x1440 or e-mail daceys@montclair.edu and report injury.
- Complete and submit RM-2 form within 48 hours to the Benefits department at hr-benefits@montclair.edu or daceys@montclair.edu.
Accident Report Form
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.
Treatment
An injured employee must follow the reporting procedures set forth 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.
- The Concentra Medical Center
- 283 Piaget Avenue, Clifton, NJ., hours are Monday through Friday 8 a.m. to 7 p.m.
- The Immedicenter
- 1355 Broad St., Clifton, NJ. remains open until 10 p.m. on weekdays and on Saturday and Sunday their hours are from 8 a.m. to 5 p.m. for employees who have incurred an injury after work hours.
- In the case of an emergency, EMS is to be immediately contacted and the employee will be treated or transported by them to a nearby hospital.
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.
Medical Emergencies
The following are some signs and symptoms that require immediate medical attention. If you observe the following, Contact Campus Security at 973-748-9000 ext. 1366 or 1-800-809-2222 right away.
- Chest pain or difficulty breathing
- Weakness/numbness on one side
- Slurred speech
- Fainting/change in mental state
- Serious burns
- Serious head or eye injury
- Broken bones (obvious)
- Inability to walk
- Severe bleeding
- Severe pain
- Severe allergic reaction
- Psychiatric disturbance such as anxiety, speech not making sense, depression
- Chemical exposures or trauma (ex. Employee fell)
- Any injury where moving the employee could cause further harm
MONTCLAIR MUST CONTACT PUBLIC EMPLOYEES OCCUPATIONAL SAFETY AND HEALTH (PEOSH)
- Report all work-related fatalities to PEOSH within eight (8) hours.
- Report all work-related in-patient hospitalizations, amputations, and losses of an eye to PEOSH within twenty-four hours.
24 Hour PEOSH Reporting Hotline: 800-624-1644, FAX: 609-292-3749