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Injury Forms

These forms are designed to be used one of three ways:

1) Print blank form, complete manually and submit by campus mail;

2) Complete form electronically, print and submit by campus mail; or

3) (If you have Acrobat Exchange software) Complete and submit form electronically.

 

Contact EHS at 4-3921 for assistance if necessary.

 

Supervisor's Report of Employee Injury
(Includes student workers)