Fillable Injury on Duty - Colorado . gov - colorado

COLORADO DEPARTMENT OF HUMAN SERVICES INJURY/EXPOSURE ON THE JOB FORM (IOJ) Permanent Employee Temporary Employee Rehabilitation Client CWEP Other EMPLOYEE PORTION: This form is to be completed by you or your authorized representative immediately after an injury or exposure and presented to the supervisor on duty by the end of your shift. If medical attention is required, it MUST be obtained from the Designated...
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