Workers' Compensation Claims

Risk Services strives to provide the safest possible working environment for all City of Eugene employees. Our goal is to assist injured employees so they can return to good health and productive employment as soon as practical after injury.  We are committed to providing excellent claims administration that meets the needs of the employee and the organization as well as meeting our legal obligations to the State.

Forms and Resources

• Workers Compensation Guide 
• 801 Claim Form and Instructions - Print a copy of the completed form, sign the form, and send the signed form to the Workers’ Compensation Program at Risk Services or electronically to the Risk Claims Team.
• Guide for Workers Recently Hurt 
• FAQ’s
• Incident Investigation Report
• Accident Analysis Form
• Prescription/Mileage Reimbursement Request Form
• Release to Return to Work
• Workers’ Compensation Division - Helpful Information

Cascade Mobile Health

The City of Eugene contracts with Cascade Mobile Health to provide onsite injury response for all City employees. Available 24/7, professionally trained medics respond to non-life threatening injuries at the workplace. Call 541-228-3111.

OSHA Reporting Requirements

IMPORTANT OSHA REPORTING REQUIREMENTS - Fatalities, Catastrophes, and Over-night Hospitalizations 

• On the job fatalities and catastrophes must be reported to OR-OSHA within eight hours.
•  Any accident that results in overnight hospitalization must be reported to OR-OSHA within 24 hours of the hospitalization.
  Supervisors should notify Risk Services at 541-682-5669 or 541-682-5791 and after hours call the Police Department’s non-emergency at 541-682-5111 and ask for Risk’s emergency contact information.