To:		Baruch College Community

From:		Elizabeth Robinson
		Director of Human Resources

Date:		May 30, 2006	

Re:		Reporting Injuries and Accidents 

CUNY Colleges are required by law to report all claims of injury or 
accident to its insurance carrier.  The New York City Law Department, 
Workers Compensation Division, serves as the insurance carrier to The City 
University of New York (CUNY) and processes all claims of injury or 
accident.  Campuses are required to file notifications of injury or 
accident within ten days of an occurrence. 

In the event of an injury or accident employees should contact The Office 
of Public Safety and their department supervisors and medical personnel 
(where necessary).  In addition, employees must notify the Office of Human 
Resources.  The Office of Human Resources can provide you with the 
following reporting forms: the “Employee’s Notice of Injury”, 
the “Supervisor’s Report of Injury”, the “Witness Statement” and the “DP 
2002”.  Please note on the DP2002 you must select either Option 1 or Option 
2 to receive reimbursement. The selection of Option 1 charges your 
sick/annual leave and allows you to remain in a pay status until you 
exhaust your leave balances. The Worker’s Compensation Division will advise 
the College of the determination to credit the appropriate time and leave 
balances. The selection of Option 2 provides Worker’s Compensation 
reimbursement at their established rate and you would not use your accrued 
leave time. The selection of Option 2 would automatically put you in an 
unpaid status. These forms, required by the New York State Worker’s 
Compensation Board, should be completed and promptly returned to our 
Office.  Once received, we will forward the forms to the New York City Law 
Department- Worker’s Compensation Division where a decision will be 
rendered as to the compensability of the claim.

If you have any questions, please contact Ms. Donna Katz at 646-660-6590 or 
e-mail at [log in to unmask]