Forms

Campus Payroll Forms
On Campus Payroll web site
Employee Incident Report Form /
Immediately report to your supervisor all injuries, illnesses, exposures, and Near Misses
Option A Calculation Sheet (SL supplements WC) /
Calculate UC payment, adjust leave banks, reconcile time record
Option B Calculation Sheet (SL & VL supplement WC) /
Calculate UC payment, adjust leave banks, reconcile time record
Option Form (SL⁄VL Authorization Form) /
Authorizes UC to use SL⁄VL to supplement WC payments
Physician Predesignation Forms /
Designate a treating physician before injury occurs
See Also: Pre-Designation of Personal Physician
Reduced-Schedule Wages Report /
Upon return to a reduced-schedule, report hours worked to ORS each week
Supervisor Incident Report Form /
Report all injuries, illnesses, exposures, and Near Misses within 24 hours
Time of Hire Pamphlet /
Distribute upon hire
Time Record (Acrobat) /
Use with Time Record Reconciliation Method
Time Record (Excel) /
Use with Time Record Reconciliation Method
Transitional Work Toolkit /
Create a Transitional Work Plan
UCSF Campus Pre-Designation of Personal Physician
Volunteer Coverage Packet /
Forms & Guidance
Workers’ Compensation Leave Bank Calculation Sheet /
Convert W/C payments to W/C Leave Bank hours
Workers’ Compensation Leave Bank Calculator
Convert W/C payments to W/C Leave Bank hours
Workers’ Compensation Posters /
Keep posted at all times