Print/Copy Mail Services Vice President FAHow to Submit a Claim:
To file VIC coverage claims, volunteers must notify you, the agency, within no more than five working days after the injury. You immediately report the injury to us for VIC coverage. We will forward the VIC Claim Form to you at that time. You will need to submit the completed claim form with the following:
A clear copy of the release and waiver bearing your volunteer's signature. You must hold the original copy in your files until we ask for it.
A copy of his or her written appointment and duties.
A description of the accident, its time, place, and resulting injury.
File VIC claims with us. Do not file workers' compensation claims with us. Workers' compensation claims are filed with SAIF under workers' compensation laws and rules.
Important Note:
Never let formalities delay your prompt reporting of a severe claim. Start by just giving us a call. You can call (541) 346-3190. Leave voice mail if we are closed. FAX to us at (541) 346-5820. Our Internet address is: shereej@uoregon.edu. If you report a claim to us by any computer mail, we will reply on the first workday following. If you do not receive our reply, you should assume that we did not receive your report.
Please forward all completed paper work to:
Sheree` Johnson
Oregon Hall Rm. 126
1585 E 13th Ave. Eugene, OR 97403
Ofc. (541) 346-3190
Fax (541) 346-5820 shereej@uoregon.edu