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UVU EMPLOYEE INJURY REPORT FORM

UVU EMPLOYEE INJURY REPORT FORM

Use a UVU EMPLOYEE INJURY REPORT FORM template to make your document workflow more streamlined.

Area / Department Supervisor Marital Status Work Status Normal shift hours Unmarried/Single/Divorced Married Separated Unknown Full-Time Part-Time M T W TH F Other Number of Dependents SAT SUN WEEKLY TOTAL INJURY INFORMATION This form must be completed and submitted to Human Resources within 24 hours of the injury Injury Date Injury Time Time employee began work AM / PM Location where the injury occurred Be specific Describe the injury Be specific List all equipment materials or chemicals...
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