1. Electronic First Report
Real Estate/Facilities July 2016

2. EFR – Claim Reporting Tool
Electronic data entry for workers’ compensation claim reporting – UC System Wide
Accessible via desktop, tablet & phone
Go Live Date for VCRE 8/1/16
Functionality supports “group” set up for your department (based on your department code, ie: CP Operations, Facilities Services Operations)
Claim notification to “group” members via of all new claims reported.
Supervisor responsible for completing claim investigation for all claims, this has not been the practice in most cases
EH&S will receive electronic notification of all new claims reported

3. Employee Demographic Data
Enter all information you have available
If not easily available, not required
Data missing will be entered by DMS when submitting claim to Sedgwick

4. Supervisor Information
System populates with the person entering the claim
If you are not the direct supervisor you should enter the claim as “I am neither of the above”.
Select the correct supervisor when you are prompted
This person will be the recipient of the supervisor s regarding the claim investigation process
This person will be the name sent to Sedgwick as the employer contact as well.

5. Medical Treatment First Aid minimal treatment, ie band aid
Provider: UC Berkeley specific options will appear here

6. Investigation
This information is required and will be reviewed by EH&S for audit/compliance purposes
If you have questions about how to complete this portion, you should speak with your manager or HR Representative and return to system to complete entry.
You (supervisor) will continue to get reminders until investigation is complete.
Ergonomic related injuries should be identified and investigated as well. These reports will be sent to the Campus Ergonomist(s). Invesigations may result in a referral for ergonomic assessment and/or equipment or furniture recommendations (such as adjustable workstation)

7. Additional Information
Employee Interview- can be completed based on the description the employee provides when reporting the claim Preventative Actions- use this tool!!

8. Next Steps- Training your Supervisors
Name ______________________________
Department ___________________
How many supervisors _______
I will provide the video and handouts to my supervisors
Please contact me to discuss scheduling a meeting to train my supervisors
Contact information _____________________________