The Department of Workforce Development (DWD) requires that the "First Report of Injury" form is submitted to them (DWD) "within 14 days of the date of injury or the last day worked after injury before the first day of compensable lost time."
Due to delays in timely reporting, UW System has been advised that the DWD will be closely monitoring for adherence to this requirement and will issue fines to those campuses found to be in non-compliance.
"First Report of Injury" forms should be given priority and submitted to the Office of Human Resources, Old Main 201, immediately after an injury/illness occurs. If you have any questions, please contact the Office of Human Resources at 715-394-8220.
Worker's Compensation Forms
- Employee's Work Injury and Illness Report - This form must be filled out by the employee when an incident/injury is reported
- Lost Time Fact Sheet
- Medical Information Fact Sheet
- Safety Coordinator Report
- Supervisor's Accident Analysis and Prevention Report - This form must be filled out by Supervisors when an incident/injury is reported