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RM0001: Employee Injury Report To report employee injuries or occupational diseases Department: Risk Management Last revised: 8/2019 Where available: On line Form Type: Interactive File Type: Acrobat PDF Form

RM0002: Declination of Treatment for Work Related Injury Employee's record of declining treatment for a work-related injury Department: Risk Management Last revised: 8/2019 Where available: On line Form Type: Print and Fill File Type: Acrobat PDF Form

RM0004: Employee's Choice or Change of Doctor Form Statutory rights to choose doctor to treat work-related injury Department: Risk Management Last revised: 8/2016 Where available: On line Form Type: Interactive File Type: Acrobat PDF Form

RM0005: Release to Return to Work for Workers' Compensation Physician's recommendations for return to work for Workers' Compensation Department: Risk Management Last revised: 7/2017 Where available: On line Form Type: Print and fill in File Type: Acrobat PDF Form

RM0006: Verification of Work Restrictions Form Supervisor's agreement with injured employee about restrictions Department: Risk Management Last revised: 8/2019 Where available: On line Form Type: Interactive File Type: Acrobat PDF Form

RM0007: Workers' Compensation Mileage Form Recording mileage for trips necessary as a result of work-related injury Department: Risk Management Last revised: 8/2019 Where available: On line Form Type: Interactive File Type: Acrobat PDF Form

RM0013: Bloodborne Exposure Incident Report To report exposure with blood or other potentially infectious material Department: Risk Management Last revised: 8/2019 Where available: Online Form Type: Interactive File Type: Acrobat PDF Form

RM0014: Bloodborne Exposure Incident Report Declination of Medical Assessment Treatment For staff to decline treatment after a bloodborne exposure incident. Department: Risk Management Last revised: 8/2019 Where available: Online Form Type: Print and Fill File Type: Acrobat PDF Form

RM0015: Hepatitis B Request/Declination Option for Hepatitis B Vaccination Department: Risk Management Last revised: 8/2019 Where available: On line Form Type: Print and fill File Type: Acrobat PDF Form

RM0019: Student Incident Report Use to report student injuries Department: Risk Management Last revised: 8/2019 Where available: On line Form Type: Interactive File Type: Acrobat PDF Form

RM0020: Student Incident Investigation Report Record of investigation after student injury Department: Risk Management Last revised: 7/2017 Where available: Online Form Type: Interactive File Type: Acrobat PDF Form

RM0023: Patron Incident Report To be completed for all non-student/non-employee injuries Department: Risk Management Last revised: 8/2019 Where available: Online Form Type: Interactive File Type: Acrobat PDF Form

RM0026: Claim Form for Replacement of Personal Items * Department: Risk Management Last revised: 8/2019 Where available: Online Form Type: Print and Fill File Type: Acrobat PDF Form

RM0035: Release to Return to Work-Mental Health Issues Doctor's documentation for employee return to work - mental health issues Department: Risk Management Last revised: 7/2017 Where available: Online Form Type: Print & Fill File Type: Acrobat PDF Form

RM0036: Release to Return to Work (Excluding Workers' Compensation) To be completed by treating physician prior to returning to work Department: Risk Management Last revised: 7/2018 Where available: Online Form Type: Print and fill in File Type: Acrobat PDF Form

RM0040: Vehicle Collision Report Form * Department: Risk Management Last revised: 8/2015 Where available: Online Form Type: Print and Fill File Type: Acrobat PDF Form