Forms: Accidents and Injuries

Accident/injury report form

Employees, students and visitors to Western Michigan University may access this form via Accident Injury Report (311 form) which includes a link to the form and related instructions. The the Accident Injury Report (311 form) must be completed for all work-related injuries, no matter how serious.

Physical capabilities form

Print form and have injured employee bring to Sindecuse Health Center with the Report of Claimed Occupational Injury or Illness form (see below).

Report of claimed occupational injury or illness

Print form and have injured employee bring to Sindecuse Heath Center with the Physical Capabilities form (see above).