Get Callutheran.edu Employee's Report Of Injury/illness

Filling out the Employee's Report of Injury/Illness is essential for documenting workplace incidents effectively. This guide will provide you with clear, step-by-step instructions to assist you in completing the form online with ease.

Follow the steps to successfully complete the online form.

1. Press the ‘Get Form’ button to access the document and open it for editing.
2. Begin by providing comprehensive details about your injury and physical condition in the first section.
3. Indicate the date you first noticed the injury; this is crucial for tracking the timeline of the incident.
4. Specify your location at the time of the incident to give context to your report.
5. Describe the activity you were engaged in when the injury occurred.
6. Detail your feelings during the incident; this information can be pertinent for medical evaluations.
7. Outline how you feel now in relation to the injury.
8. Answer whether you reported or mentioned this incident to anyone by selecting ‘Yes’ or ‘No.’
9. If you received medical care for this condition, select ‘Yes’ and provide the date, name, and address of the healthcare provider.
10. Indicate whether you are currently disabled from work by selecting ‘Yes’ or ‘No,’ and fill in the last day you worked.
11. Provide the date you returned to work or expect to return.
12. Answer whether you have had a similar condition before and provide relevant details if applicable.
13. If you have filed a previous disability claim, provide an explanation of when, where, and what benefits you received.
14. Indicate the name and address of your family physician.
15. Review the statement for accuracy, then sign to confirm that it is true to the best of your knowledge, fill in your employer's details, and ensure a witness signs along with the date.
16. Once all fields are completed, save changes, download the document, and print or share it as necessary.

Complete your Employee's Report of Injury/Illness online today!