For more information:

80 Lower College Road

Kingston, RI 02881

Phone: 401-874-2416

Fax: 401-874-5741

Humanres@etal.uri.edu

The University of Rhode Island's Workers Compensation carrier is:

State Employees Workers' Compensation
One Capitol Hill
Providence, RI 02908
401.574-8500
Fax: 401.574-8524

 

 

Work-related Injury/Incident Procedure

24 Hour Notification Procedure

Forms:

• 24 Hour Notification Form
• Sick Leave / URI Payroll Discharge Form
• Employees Certificate of Dependency Status
• Authorization for Release of Confidential Information
• URI Incident/Injury Report (USP-14A) (a carbonless form - call 874-9054 for a supply)
• W-9 (to be completed by student and Internal workers only)

 

University of Rhode Island, Kingston, RI 02881 | Phone: 401-874-1000
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URI is an equal opportunity employer committed to the principles of affirmative action.