A-Z Index Forms Contact Us
UHRSskip navigation
BenefitsCompensation ProgramsEmployee RelationsEmploymentHR SystemsOrg DevelopmentPoliciesWorkers' Comp
Indiana University

University Human Resources

Home > Workers' Comp > Occupational Injury/Illness Form

Occupational Injury/Illness Form

Requirement for all campuses


This form contains employee health information and must be used in a manner that protects the confidentiality of the employee to the extent possible while the information is being used for occupational safety and health purposes.

 

 

empty
Facebook
Twitter
empty

Page updated: 30 October 2015
UNIVERSITY HUMAN RESOURCES
Contact: • 812-855-4847