Worker's Compensation

Reporting Injuries and Accidents:

CUNY schools are mandated by law to report all injuries and accidents to its insurance carrier, The New York City Law Department- Workers Compensation Division. The Workers Compensation Division processes all claims of injuries and accidents.

It is imperative that in the event of an injury or an accident, the employee contacts the Public Safety Office (x-6911) and must notify their supervisor. In addition, the employee must notify their Human Resources Generalist according to their title within 10 days of injury.

Lashana Simmons-Taylor
Benefits Coordinator for Classified FMLA/Workers' Compensation
Tel: 212-650-5057
Email: lsimmonstaylor@ccny.cuny.edu

Jamila Best
Benefits Officer
Tel: 212-650-7963
Email: jbest@ccny.cuny.edu

The Workers Compensation Liaison will provide you with the following forms:

• WCS110 - Employees' Notice of Injury
• WCS100 - Supervisor's Report of Injury
• WCS120 - Witness Statement
• DP2002 - Leave Option Election Form
• C-3 Form (the employee must complete the C-3 form and read the Information Packet)

Once all the forms have been completed, the forms will be forwarded to the New York City Law Department - Workers Compensation Division.