New process for reporting all injuries

A collaboration ofInsurance & Claims Management

Human Resources

One online form

• Report work-related injuries• Report injuries to visitors, guests,

students, volunteers, and others

Supervisors or HR partners log in with MyID & password

Select the New Injury Report button

Input basic information

Describe the incidentincluding any witness contact info

Describe the injuryand who is reporting

Work-related or not?

May print at this time. Press SUBMIT when complete.

After you submit the injury report(work-related)

After you submit the injury report(non-work-related)

Want to see a report you previously submitted?

• Go back to the web site where you submitted the injury report

• View a list of the previous reports

To come…

• Add links on various UGA web sites to the injury report form

• Update the Workers’ Compensation Supervisors’ Guide (and form packet)

• Communication to supervisors & HR partners (who will submit injury reports)

• Communication to campus

Work related injuries: Angie Dellingeradelling@uga.edu706.542.6498

Non-work-related injuries:Vance Silcottvsilcott@uga.edu706.425.3083