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Injury/Illness
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Employee Injury Incident Report
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Supervisors are to report injury and incidents within
24 hours
for needed review and advisement from Environmental Health and Safety and
Medical Management. Please clearly complete, sign and send by one of the
following methods:
Email: WVUInjuryIncidentReport@mail.wvu.edu Fax: Environmental Health Safety (304)-293-7257 and Medical Management (304)-293-2644Campus mail: EHS PO 6551 Facilities and Services Medical Management PO 6640 One Waterfront |
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Student - Visitor Accident Report Form |
To be completed by the student or visitor to report an injury. Form must be completed within 24 hours. Form must be printed, signed, and emailed, faxed or mailed to: Email: WVUInjuryIncidentReport@mail.wvu.eduFax: Risk Management (304)-293-6856 Environmental Health Safety (304)-293-7257 |
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Return to Work Notice
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To be filled out by the supervisor when employee returns after being on leave due to an injury/occupational illness. |