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UVU Employee Injury Report Form 2016-2025 free printable template

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UV EMPLOYEE INJURY REPORT FORM UV employees must contact a Workers Compensation Representative in Human Resources at (801) 863 8389 For all nonemployee related injuries, please contact UV Department
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How to fill out UVU Employee Injury Report Form

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How to fill out UVU Employee Injury Report Form

01
Obtain the UVU Employee Injury Report Form from your supervisor or the HR department.
02
Fill out your personal information, including your name, employee ID, and contact information.
03
Provide details about the incident, including the date, time, and location where the injury occurred.
04
Describe the specific nature of your injury and how it happened.
05
Include the names and contact information of any witnesses present during the incident.
06
Ensure that you sign and date the form to confirm the accuracy of the information provided.
07
Submit the completed form to your supervisor or designated HR personnel promptly.

Who needs UVU Employee Injury Report Form?

01
Any employee who has sustained an injury while performing work-related duties at UVU needs to fill out the UVU Employee Injury Report Form.
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The UVU Employee Injury Report Form is a document used to report workplace injuries or incidents involving employees at Utah Valley University.
Any employee who experiences an injury or incident while performing job-related duties at UVU is required to file the UVU Employee Injury Report Form.
To fill out the UVU Employee Injury Report Form, employees should provide detailed information about the incident, including personal details, a description of the injury, date and time of the incident, witnesses, and any other relevant information.
The purpose of the UVU Employee Injury Report Form is to ensure that workplace injuries are documented properly for safety records, insurance purposes, and to facilitate appropriate medical care and follow-up.
The information that must be reported on the UVU Employee Injury Report Form includes the employee's name, date of the incident, time of the incident, a description of the injury, the circumstances surrounding the incident, and any witnesses present.
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