Get University Of Missouri Form Um Wc-1 2016-2025

The University Of Missouri Form UM WC-1 is an essential document for reporting workplace injuries. Completing this form accurately is important for ensuring prompt processing of claims and appropriate follow-up. This guide will walk you through each section of the form to make the online filling process as straightforward as possible.

Follow the steps to complete the form correctly

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by filling out the employee information section. This includes details such as the date of the incident, employee number, name, home address, phone number, and the supervisor's contact information.
3. Proceed to the accident information section. Here, you will need to provide the date the university was notified about the incident, the incident type, and body part affected. Indicate whether the incident occurred on university property.
4. Give a brief description of the injury and the work process the employee was engaged in at the time of the incident. Include all equipment and materials involved.
5. List any witnesses to the incident along with their contact information.
6. In the medical treatment section, specify whether any medical treatment was received and provide details of the treating physician or clinic, including their address.
7. Finally, ensure that the supervisor's signature or typed name is included, along with the date of completion.
8. Once all sections of the form are filled out appropriately, save your changes. You can then download, print, or share the form as needed.

Complete the University Of Missouri Form UM WC-1 online today to ensure timely reporting of workplace injuries.