UVU EMPLOYEE INJURY REPORT FORM 2026

1. Click ‘Get Form’ to open the UVU EMPLOYEE INJURY REPORT FORM in the editor.
2. Begin by filling out the EMPLOYEE INFORMATION section. Enter your name, work phone number, UVID, and best contact number. Don’t forget to include your date of birth, sex, age, address, job title, area/department, supervisor's name, marital status, work status (full-time or part-time), and normal shift hours.
3. In the INJURY INFORMATION section, provide details about the injury. Specify the date and time of the injury and when you began work. Clearly describe where the injury occurred and what equipment or materials were involved.
4. Indicate whether safety equipment was provided and if it was used. List any witnesses to the injury along with their contact information.
5. Complete the medical treatment section by indicating if you saw a doctor for your injury and providing their details if applicable. Finally, sign and date the form before submission.

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