Get Uwg First Report Of Injury - University Of West Georgia - Westga

Filing a report for injuries at the University of West Georgia is an important process that ensures proper documentation and assistance. This guide provides straightforward steps to effectively complete the UWG First Report of Injury form online, facilitating a smooth submission to the Risk Management department.

Follow the steps to accurately complete your injury report.

1. Click the ‘Get Form’ button to obtain the form and open it for editing.
2. In Section I, input the agency name as 'University of West Georgia' and the location code, which is '7256'.
3. Enter the incident information, including the date and time of the incident, as well as the date and time when the employer was notified.
4. Fill in employee information, starting with the Social Security Number, employee's name, and contact numbers (home, cell, and work). Include the employee's email address and address information, along with their date of birth, gender, marital status, number of dependents, job title, date of hire, employment status (full/part time), hours per week, and wage rate.
5. Provide supervisor information, including the supervisor's name, title, signature, phone number, and date.
6. In the injury information section, describe how the injury occurred, specify the type of injury, and include the location of the injury and any witness names and their phone numbers.
7. Fill out the treatment information by providing the name and address/phone number of the treatment facility and the treating physician's name, as well as who transported the employee.
8. Respond to the lost time information questions by indicating if the employee worked a full day on the date of the injury, if they are currently out of work due to the injury, and the first full day they did not work.
9. Complete the department information section by documenting the start time of work on the day of the injury, the employee's department name, and the department's phone number.
10. Section II will be completed by Risk Management, which includes the claim number and the date filed.

Complete the form online today to ensure timely processing of your injury report.