Workers' Compensation Forms
Workers' Compensation Forms, for assistance please contact the Workers’ Compensation office in Risk Services at (831) 459-2850 or (831) 459-1787.
- Employer's First Report of Injury (EFR)
- Click on "Login" and then log in with your CruzID and Gold Password to access the online form. Click on "Create Claim."
- Employee Authorization for Medical Treatment of Occupational Incidents
- Volunteer Waiver and Election of Workers' Compensation
UC Santa Cruz, 1156 High Street, Santa Cruz, Ca 95064
©2019 Regents of the University of California. All Rights Reserved.