Interested in reviewing your options or in making changes to your AD&D, Disability, and Life Insurance, please contact Susan Dominguez, FPG HR Personnel Administrative Analyst. Please note verifications could take up to 3 to 4 months.
LEAVE OF ABSENCE
LINK: How to get started
Please contact Dellicia Jones for more information:
TEL: (310) 301-5145
FAX: (310) 301-5253
When a work related injury or illness occurs:
Step 1: Seek immediate assistance, and then notify your department Supervisor
Step 2: Supervisor/Manager notify FPG Human Resources to report incident
Step 3: Supervisor/Manager with ill/injured Employee complete the required form(s):
FORM: Incident Report and Worker Compensation (IRWC)
Forward over the IRWC and DWC 1 to FPG Human Resources within 24 hours. Even if injured employee refuses 1st aid or treatment, UCLA is required to report all incidents.
Step 4: MUST obtain Medical Authorization Form from FPG Human Resources for one of the locations below:
Century Center Employees will be referred to Concentra Medical Group;
All other FPG Employees will be referred to Occupational Health Center