How do I submit a request to Work Connections for an accommodation from In-Person Instruction?

Instructors should File a request for service online.

  • For the Type of Incident you are reporting: Enter: “Employee Injury or Illness”
  • At the time you file a claim, along with the specific physical restrictions requested, medical documentation from your health care provider must be attached.
    • To facilitate the process for review and ensure that all necessary medical information is provided, we strongly encourage you to provide copies of your medical records for the past 6-12 months. In most cases, this information can be obtained quickly by accessing your provider’s healthcare portal.
    • Alternatively, you may provide a report from your physician that includes, at a minimum, the following information: diagnosis, treatment rendered, objective findings, ongoing treatment plan, the specific physical restrictions recommended and an explanation as to the medical necessity for restrictions.

If insufficient information is provided with your request, Work Connections will be unable to make a determination as to the medical necessity of restrictions requested.

  • For the Description of Incident: Enter: “Instructional Accommodation”
  • Optional: Download and print the Authorization to Release Medical Information
  • Once you file a claim, you’ll receive an Event Number to help track your case.
  • Work Connections will contact you and your department/unit with restricted work recommendations.

What happens after WC reviews the medical documentation to determine whether it supports the underlying condition (i.e., illness, injury)?

Work Connections will inform your department if there is a medical necessity for specific restrictions. If WC validates the medical necessity of recommended restrictions, your department will be in touch with you to discuss what type of appropriate accommodations or other measures could be considered.

Please note that WC does not make the determination or decision about the appropriateness of accommodations or other measures.