The Workers' Compensation Program for
East Carolina University is administered by the Office of Environmental
Health and Safety in accordance with the provisions of the North
Carolina Workers' Compensation Act, the North Carolina Industrial
Commission Rules and Regulations, and the North Carolina State
Government Workers Compensation Handbook. A Workers' Compensation Manager has been designated in
the Office of Environmental health and Safety to be responsible for the
effectiveness of processing and monitoring the workers' compensation
claims. The University is responsible for accepting employer liability
for the State and paying claims. It
is the intent of East Carolina University to provide uniform and
consistent application of the rules and regulations to be followed in
processing workers' compensation claims and also ensure entitled
benefits are provided to all affected employees. The program is
periodically reviewed by the North Carolina Office of State Human Resources to measure and evaluate the
effectiveness of the program and recommend changes to achieve optimum
results. Our third-party administrator that reviews all claims for compensability is CorVel Corporation.
forms can be downloaded as an editable pdf (save to computer first) or printed as a hard copy. You must hand write your
signature on forms, electronic signatures are not permitted.
If you need assistance
completing the forms, contact EHS.
Medical Treatment RefusalIf treatment is refused at time of incident
If a student is injured while conducting assignments or other general duties on campus (classroom, laboratory, etc.) then the student should contact Student Health for medical attention or 9-1-1 if life-threatening injury. They should also complete the Student Statement of Injury Form to ensure documentation of the incident.
What If I Miss or Am Taken Out of Work?There is a seven day waiting period before compensation benefits are awarded. During this period, the employee may use sick or vacation leave, if available, or elect to go off the payroll with no pay. After 7 days, the employee is removed from ECU payroll and receives 66 2/3 regular compensation until they return to work.
Leave Options Form (optional)
If you choose Option 3 from the "Leave Options Form", regarding using leave time after the seven day waiting period, review the "Supplemental Leave Schedule" provided below. It explains how much time can be used to supplement workers' compensation weekly benefits. If you have any questions contact the WCM at 328-6166.
Supplemental Leave Schedule
What Happens to My Other Benefits?Please note no other ECU Human Resources Benefits will continue, i.e. dental or vision insurances, retirement service credit if employee remains out of work past the 7-day waiting period. Contact ECU Human Resources at 328-9847 to discuss your benefits.
Vacation, sick leave and longevity pay will continue while the employee is out on Workers' Compensation. Any performance increases from legislature will be awarded to employee's salary upon reinstatement.
YES. A "close call" or "near miss" is an incident that does
not result in injury or illness. Employees should report all "close
calls" or "near misses" to their supervisor. Supervisors should then
report these "close calls" or "near misses" to the Office of
Environmental Health and Safety. Accident prevention must be
emphasized instead of reactionary measures to help prevent actual
What If There is a Fatality, Hospitalization, Amputation or Loss of an Eye? Reporting Fatalities, Inpatient Hospitalizations, Work Related Amputations, and Work Related Losses of an Eye
How do I Return to Work?
There 3 scenarios in which an employee on WC leave may return to work:
Questions regarding workers' compensation claims should be directed to the Workers' Compensation Manager with the Office of Environmental Health and Safety at 252-328-6166.
If questions are not answered to your satisfaction, you may call the North Carolina Industrial Commission at 1-800-688-8349 or 919-733-0345. Assistance is available to unrepresented claimants, employers, and other parties to enable them to protect their rights. In addition, the North Carolina Industrial Commission (WC Information Specialist, formerly Ombudsman Section) can answer questions pertaining to all aspects of Workers' Compensation.