This form is used for someone who sustains an illness or injury and is not an employee of Ohio University. It should be submitted within 24 hours of the illness or injury.
To submit your form:
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Locate the form in the Attachments section.
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Complete all required fields.
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Once finished, submit the completed form to Enterprise Risk Management & Insurance by fax at (740) 593-0386 or by email at insurance@ohio.edu.