Columbia University Human Resources

Morningside Campus

Form and Contact

Form

Departmental Accident Report Form (PDF)

Contact

HR Service Center: Disability Benefits
Phone: (212) 851-7000
Fax: (212) 851-7069

 

What You Must Do If You Are Injured on the Job

Seek Medical Attention

If medical treatment is needed, your treatment options are:

  • Any private physician authorized by the Worker's Compensation Board. You can use this web link for assistance in finding a physician: http://www.wcb.state.ny.us/hps/HPSearch.jsp
  • For emergency treatment go to the St. Luke's Hospital emergency room; call CU Public Safety at 212-854-5555, or call 911.

GAB Robins
123 William Street, 15th Floor
New York, New York 10038
Phone: 212-815-8900
Fax: 212-732-5509

Reporting the Injury

The Accident Report Form

Report the injury to your supervisor immediately. Complete a Departmental Accident Report Form for Workers’ Compensation Benefits (PDF). The form must be completed by you and your supervisor without delay. Be sure to keep a copy of this form for your own records and submit the original to your supervisor or designated departmental administrator.

Late reporting may result in a delay in processing your claim.

Note : Workers' Compensation Claims are to be reported by the designated departmental administrator by contacting GAB Robins at 877-749-1826. A copy of the report should also be faxed to HR Disability Benefits at 212-851-7069.

Remember

In addition to filling out the necessary forms, you must provide your supervisor with medical documentation (a doctor’s note) to cover your absence and keep him/her properly updated regarding your anticipated return to work date.

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How to Follow Up on Your Claim Information

  • GAB Robins
    123 William Street, 15th Floor
    New York, New York 10038
    Phone:     212-815-8900
    Fax: 212-732-5509
  • Columbia University HR Disability Benefits
    Phone:     212-851-7000
    Email:     hrdisability@columbia.edu 

 

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