Reporting an On-the-Job Injury/Illness

If you experienced an on-the-job injury or illness, you are to report the incident immediately to your supervisor no matter how minor. Once the injury is reported, an incident investigation will occur to determine the cause of the incident and corrective action taken to prevent the incident from reoccurring. Please note: Failure to report an injury could result in the denial of your claim.

Injury & Illness (Report work-related injury/illness with the form below):

• Injury & Illness Report form

Contact Information: