SAIF Forms
These forms make up a packet for the supervisor and employee should an accident or injury occur on campus.
The forms are either in Adobe Acrobat (pdf) or MS Word.
Name of Form
|
PDF Format |
Word Format
|
Supervisor’s Instructions
for Reporting On-the-Job Injuries |
||
Employee Instructions
for Reporting On-the-Job Injuries |
||
Employee Accident
Report Form – No Medical Attention
|
||
Supervisor’s On-the-Job
Accident, Illness Investigation |
||
Notice to the Physician
|
||
Worker’s Compensation
Associated Leave Choices |
||
|
Worker’s Compensation Claim Form 801 |
|
|
Contact Information
One University Boulevard
Inlow Hall, Room 209
La Grande, OR 97850
Phone: 541-962-3548
Fax: 541-962-3023
Eastern Oregon University is a member of the Oregon University System