All State employees must notify their supervisor immediately if they have sustained an on-the-job injury.
For injuries with a date of accident on or after April 25, 2013, failure to notify an employer within the earliest of the following dates could jeopardize compensation: 20 calendar days from the date of accident or the date of injury by repetitive trauma.
If the employee is working for the employer against whom benefits are being sought and such employee seeks medical treatment for any injury by accident or repetitive trauma; 20 calendar days from the date such medical treatment is sought; or
If the employee no longer works for the employer against whom benefits are being sought, 10 calendar days after the employee’s last date of actual work for the employer.
Upon notification, the supervisor should meet with the employee and fill out the electronic Employer’s Report of Injury via the SSIF web portal at SSIF Claim Submission Portal
Note: This form must be completed in its entirety by management and submitted to the State Self Insurance Fund (SSIF) within 24 hours of the supervisor’s awareness of the injury.