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UAB OntheJob Injury/Illness Program Benefits Application This is an application for medical and/or lost time benefits under the UAB OntheJob Injury/Illness (OSI) Program. UAB is not subject to the

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How to fill out uab on-form-job injuryillness program

01

Start by downloading the UAB On-Form-Job Injury/Illness Program form.

02

Fill out your personal information, including your name, address, and contact information.

03

Provide details about the injury or illness, including the date and time it occurred, the location, and a description of what happened.

04

Indicate whether medical treatment was sought and provide information about the healthcare provider.

05

If applicable, provide information about any witnesses to the incident.

06

Sign and date the form to certify its accuracy.

07

Submit the completed form to the appropriate department or individual as instructed.

Who needs uab on-form-job injuryillness program?

01

Employees of UAB who experience a job-related injury or illness are required to fill out the UAB On-Form-Job Injury/Illness Program form. This includes both full-time and part-time employees.

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What is uab on-form-job injuryillness program?

The UAB On-Form-Job Injury/Illness Program is a system designed to document and manage workplace injuries and illnesses, ensuring proper reporting and resolution of such incidents.

Who is required to file uab on-form-job injuryillness program?

All employees who experience a work-related injury or illness are required to file the UAB On-Form-Job Injury/Illness Program.

How to fill out uab on-form-job injuryillness program?

To fill out the UAB On-Form-Job Injury/Illness Program, employees should complete the required form with details of the incident, including the nature of the injury, date, time, location, and witness information.

What is the purpose of uab on-form-job injuryillness program?

The purpose of the UAB On-Form-Job Injury/Illness Program is to ensure that workplace injuries and illnesses are properly documented, investigated, and managed to promote safety and compliance.

What information must be reported on uab on-form-job injuryillness program?

Required information includes employee details, a description of the injury or illness, the circumstances of the incident, dates and times, and any medical treatment received.

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