Employee Incident Report

This form is completed by an employee and their supervisor in the event of a work-related injury, illness, or incident. The form must be completed for every work-related incident, accident, or illness, preferably within 24 hours. 

To submit your form:

1. Locate the form in the Attachments section.

2. Complete all required fields.

3. Once finished, submit the form to Enterprise Risk & Workers Compensation via email at insurance@ohio.edu or fax at (740) 593-0386.