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Get Incident Report Form - University Of San Diego - Sandiego

Inical supervisors. A. If the injury requires immediate medical intervention: 1. Utilize the Emergency Room for immediate treatment at Facility/Agency where accident/incident occurs. 2. When completing the registration forms, indicate the injury will be classified as a Worker's Compensation claim that will be handled by USD. The insurer is Travelers. Policy Number TC2JUB4250B401-13. The USD contact person is Conchita Waite, Benefits Assistant 619-260-2737. 3. As soon as the injured party is capa.

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