If you are an employee of the University of Tennessee Space Institute and have an accidental injury while you are working at your job, then you may be covered by the Workers’ Compensation Program of the State of Tennessee.
For EMERGENCIES that are LIFE-THREATENING or result in SERIOUS BODILY INJURY CALL 911 and/or GO TO THE NEAREST EMERGENCY ROOM!
CALL CENTER – Workplace Injury & First Notice of Loss Toll-Free 1-866-245-8588, 24/7 Nurse Line
CAMPUS WORKERS’ COMPENSATION COORDINATOR
UTSI Human Resources, Equity & Diversity
411 B.H. Goethert Parkway
Tullahoma, TN 37388-9700
ph: 931-393-7504, fax: 931-393-7268
Workers’ Compensation Forms:
- Reporting Procedures
- Injury Report
- Lost Time (Return to Work) Calendar
- Transitional Duty Plan
- Quick Reference Guide – Overview of Reporting Process
The Tennessee Division of Claims Administration will assess a $1,000.00 penalty to the department if the First Notice of Loss (FNOL) is not completed within 7 calendar days after the claim has been reported to CorVel.
Please contact the UTSI Campus Workers’ Compensation Coordinator in the UTSI HR office in Lower C-wing, Room C106 HR office at ext. 37504 or ext. 37226 if an injury has occurred. Also please return the Injury Report and other applicable forms to Campus Coordinator as soon as possible.
The UTSI Campus Workers’ Compensation Coordinator submits a copy of the Injury Report to the UT Workers Compensation office for reporting purposes and to the UTSI Safety Office so they may address any safety concerns and/or reporting requirements.