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.

dots graphic

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

Contact information for Human Resources

Dotted line graphic

Affirmative Action/Equal Opportunity Employer committed to the development of a diverse multicultural community.



Eastern Oregon University is a member of the Oregon University System. || © Eastern Oregon University All Rights Reserved