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 |
||
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 |
|
|
Affirmative Action/Equal Opportunity Employer committed to the development of a diverse multicultural community.
To find out more about what Human Resources services are available
see Contacting HR
Eastern Oregon University - One University Boulevard - La Grande, OR 97850-2899 - Phone: 541-962-3672