SAIF Forms
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.
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Name of Form
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PDF Format
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Word Format
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Supervisor’s Instructions for Reporting On-the-Job Injuries
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Employee Instructions for Reporting On-the-Job Injuries
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Accident Report Form – No Medical Attention
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Supervisor’s On-the-Job Accident, Illness Investigation
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Notice to the Physician
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Worker’s Compensation Associated Leave Choices
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Worker’s Compensation Claim Form 801
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Contact information for Human Resources
Affirmative Action/Equal Opportunity Employer committed to the development of a diverse multicultural community.