Skip to content

Workers Compensation

 
 
 
 
 
 

Workers Compensation Forms

Description

 

UCM Employee & Supervisor Incident Report

Supervisor and employee must complete this report when an occupational injury, illness or incident occurs, or a job-related illness develops gradually (e.g. tendonitis) as a result of UCM employment.

Worker's Compensation Claim Form (DWC 1)

Complete form to seek medical treatment 

 

Workers Compensation Election Form

Employee use this form to elect whether he/she would like to supplemnet, or decline to supplement, his/her pay, while out on Workers' Compensation Leave due to work related injury or illness.