Workers’ Compensation

INJURED WHILE AT WORK?

• Contact your supervisor immediately
• For emergency situations, call 911 immediately

CFCC’s Preferred Provider List:

Medac Urgent Care

• 4402 Shipyard Boulevard, Wilmington, NC 28403
• Directions
• Hours of Operation
• Phone 910.791.0075

For Surf City & Burgaw Campus: Medac Urgent Care (Porters Neck)

• 8115 Market St STE 100, Wilmington, NC 28411
• Directions
• Hours of Operation
• Phone 910.686.1972

If Medac Urgent Care is not open, or for emergency situations, seek treatment at the nearest medical facility

SUPERVISORS

1. Report the injury/accident to Human Resources by contacting 910-362-7312
2. Complete the Supervisor Checklist
3. Forms:
   • Injury Data Collection Form
   • Supervisor Incident Investigation Report
   • Employee Incident Report
   • Witness Incident Report
   • Vehicle Accident Report
   • Letter to Treating Physician
   • Work Related Injury – Illness – Return to Work Report
   • Refusal of Treatment

EMPLOYEES

1. Report the injury/accident to your Supervisor immediately
2. Complete the  Employee Checklist
3. Forms:
   • Employee Incident Report
   • Work Related Injury – Illness – Return to Work Report
   • Letter to Treating Physician