Employee Must Report Injury to the Supervisor immediately following the accident!
♦ Completion of an Employee Report of Incident form *Employee to complete side 1 *Supervisor and Witness to complete side 2
♦ Supervisor or designee is to notify the Work Comp office at 973-4579
♦ If an injured employee needs medical treatment, the Work Comp office will call the medical care facility and coordinate appointments with the employee
Workers Compensation Documents and Forms: