Office of Origin: Human Resources
Responsibility: Executive Director, Human Resources 
Original Date Adopted: 4-26-22
Dates Reviewed: 4-26-22
Last Date Board Approved: 4-26-22

Lake Michigan College (the “College”) complies with the Michigan Workers’ Disability Compensation Act (“Workers’ Comp”), which provides wage replacement, medical, and rehabilitation benefits to employees who suffer a work-related or occupational injury or illness. All College employees are covered by Workers’ Comp.

Responsibilities of Employee

• Notify supervisor of work-related or occupational injury or illness immediately, even if no medical attention is required. If pain or sickness develops at home that the employee believes is work related, the employee must contact their supervisor or Human Resources (“HR”) prior to receiving medical treatment unless the condition requires immediate medical attention.
  • Employer’s Basic Report of Injury Form (WC-100)
  • Medical documentation relating to the injury or illness
• Provide information to assist the supervisor to complete the Employer’s Basic Report of Injury Form (WC-100). The supervisor will provide this form to HR.
• Provide copies of all medical documentation to the supervisor and HR after every medical appointment.
• Submit to a second medical examination in certain situations.

An employee’s failure to comply with the above responsibilities may result in the delay or loss of benefits and/or disciplinary action.

Responsibilities of Supervisor

• When an employee is injured at work, the supervisor’s primary responsibility is to ensure that the employee is safe and receives prompt medical attention. 
• If the injured employee is not capable of transporting themselves to medical treatment, the supervisor must either accompany the employee or contact Facilities Management to arrange transportation.
• Immediately notify HR and the supervising Cabinet member.
• Promptly gather details from the employee to gain a full understanding of the circumstances and facts, such as how the injury occurred, what time it happened, which body part(s) were affected, and the names of witnesses. 
• Complete and sign the Employer’s Basic Report of Injury Form (WC-100) and send the form to HR within 24 hours of the injury, illness or exposure.
• Provide copies of all medical documentation and any other relative information related to the injury or illness to HR within 24 hours of receipt.

If the affected employee is released to return to work with restrictions, the supervisor and HR will coordinate the placement to ensure compliance with the treating physician’s restrictions. HR will maintain contact with an affected employee while they are off work and provide appropriate modified duty work options and accommodations when possible and in collaboration with the supervisor.

References: Michigan Workers’ Disability Compensation Act