Reporting Injuries and Accidents:
CUNY schools are mandated by law to report all injuries and accidents to its insurance carrier, The New York City Law Department- Workers Compensation Division. The Workers Compensation Division processes all claims of injuries and accidents.
It is imperative that in the event of an injury or an accident, the employee contacts the Public Safety Office (x-6911) and must notify their supervisor. In addition, the employee must notify their Human Resources Generalist according to their title within 10 days of injury.
Yvette Merced
Generalist for Classified Staff
Tel: 212.650.7669
E-mail:
ymerced@ccny.cuny.edu
HR Amrita Saimpla
Generalist for HEO Series, Non-Teaching Instructional Staff
Tel: 212.650.7515
E-mail:
asaimpla@ccny.cuny.edu
Erica Stephens
Associate Director of HR for Teaching Instructional Staff
Tel: 212.650.7506
E-mail:
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Shamaya Green
Human Resources
Tel: 212.650.6065
E-mail:
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sgreen@ccny.cuny.edu
The Workers Compensation Liaison will provide you with the following forms:
- Employees' Notice of Injury
- Supervisor's Report of Injury
- The Witness Statement
- The DP 2002
- The C-3 Form (the employee must complete the C-3 form and read the Information Packet)
Once all the forms have been completed, the forms will be forwarded to the New York City Law Department- Workers Compensation Division.
Last Updated: 02/20/2020 09:39