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Work Injury Reporting – Workers’ Compensation
Injury Forms – School
Instructions/Protocol for reporting work related injuries – Please read this before completing the forms to report an injury. Please forward completed forms, via email to email@example.com or interoffice mail to City Human Resources Office, Room 306, City Hall, for processing. Also, please forward a copy of the forms to Christine McAuliffe in the School Human Resources Office or via email to firstname.lastname@example.org.
Form 118 – This form should be completed by someone other than the injured employee. Complete this form if the employee is going to be out for less than 5 work days.
Form 101 – This form should be completed by someone other than the injured employee. Complete this form if the employee is going to be out for 5 or more work days.