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Please submit to the office of Human Resources by the end of the workday following the accident, inc 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in your personal information. Enter your name, date of birth, and contact details clearly in the designated fields.
  3. Indicate your role (Student, Employee, Visitor, Student Employee) by selecting the appropriate option.
  4. Provide details about the incident including the date and time of injury. Be specific when describing what happened and any unsafe conditions present.
  5. If applicable, list any witnesses to the incident and describe any injuries sustained. Use additional paper if necessary for detailed descriptions.
  6. Review all entries for accuracy before submitting. Ensure that you have signed and dated the form at the bottom.

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The results of a workplace investigation may possibly lead to litigation, especially if the complainant or accused feels that their rights have been violated or that the employer has acted unfairly. In these situations, it may be necessary to seek legal counsel of your own.
Go to your Workday profile and select Job on the right. On the selections above, choose Support Roles. Scroll down until the find the HR Partner in the AsdocHub Role column. The name on under the Worker column is the department HR Partner.
Employees have the right to be treated fairly during workplace investigations. This means that employers must avoid bias and ensure that investigations are conducted objectively. Investigators must remain neutral and avoid any preconceived judgments about the employee or the complaint.
Be open and honest when providing information. Cooperation can reflect positively on you during the investigation. Collect any relevant documents, emails, or communications that pertain to the issue at hand. This can help clarify your position. Consider talking to a trusted colleague or mentor for guidance.

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Related links

Injury Illness Prevention Program (IIPP)

This form must be completed and faxed to the HR Director at 278-4032 or to Sedgwick at 916-951-8052 immediately after knowledge of the accident or injury.

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please contact our Customer Care Department within the U.S. at 800-762-2974, outside the U.S. at 317-572-3993, or fax 317-572-4002.

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