Forms
Worker's Comp Forms
- Employee's Work Injury And Illness Report
- Employer's First Report of Injury or Disease
- Supervisor's Report Form
- Early Return to Work Agreement Form
- Worker's Compensation Claims Fact Sheet
Do not transmit the above three forms via e-mail as they contain confidential information.
Vehicle Driving Forms
Risk Management Forms
- Agent Liability Request Form
- Certificate of Coverage
- Coverage Request of Borrowed Items Form
- General Accident Report
- Vehicle Accident/Incident Report
- Lightning Loss – Affidavit
- Proof of Loss Form
- Hold Harmless
- Personal Protective Equipment (PPE) Hazard Assessment and Analysis
AED Training Request Form
Safety and Health Hazard Reporting Form- Indoor Air Quality Survey
- SERVICES
- Safety Training
- Vehicle & Driving Information
- Waste Management
- Worker's Compensation
- Ergonomic Assessments
- RESOURCES
- Forms
- Automated External Defibrillators
- Campus Safety Committee
- Continuity of Operations Planning
- Employee Safety
- Environmental Health & Ergonomics
- MSDS Collection
- Pandemic Influenza Information
- Risk Management
- UW-W Health & Safety Policies