Worker’s Compensation Injury Reporting

NOTE: All forms are confidential and should be submitted to Risk Management (riskmanagement@matsuk12.us) immediately upon completion using in-district mail.

1. When an employee is injured at work, they should be provided with the Employee Report of Occupational Injury form to complete.
   • If the injury is minor, requiring only basic first aid, the employee can instead complete the Generic Incident Report.
2. If an employee intends to seek medical attention, they should also be provided with the Return to Work Authorization form, to be completed by the doctor.
3. If a bloodborne pathogen exposure has occurred (as defined in the Exposure Control Plan), then the Exposure Incident Report should also be completed.
4. Notify Risk Management if the employee has any time loss from the injury.