Injury & Incident Reporting

 

INJURY REPORTING AND INCIDENT REPORTING PROCEDURE

The first priority is protecting people, followed immediately by securing hazardous materials and the scene for safety.

  1. For an emergency, call 911
  2. Report injuries and incidents immediately to your Supervisor.
  3. Seek medical attention if necessary.
  • Urgent Care facilities in Laramie:
    • Ivinson Urgent Care, 3236 Grand Ave, (307) 760-8602
    • BestMed Urgent Care, 3810 Grand Ave, (307) 721-1794

  • Emergency Department in Laramie:
    • Ivinson Memorial Hospital, 255 North 30th Street (307) 742-2141
  • Medical care outside of Laramie: See nearest medical care provider

Advise the health care provider that you are employed by UW and that you were injured on the job. If you are asked for a case or claim number, explain that it will be issued by the Wyoming Workers’ Comp office. Take the UW Work-Related Injury Follow-up Form with you to your appointment. 
** Note that in some situations multiple forms are required. **

Forms for Reporting Injuries

WORKERS' COMPENSATION FORM

First Report of Accident/Injury

 

 

Work-Related Injuries & Illnesses for Employees/student employees

Workers' Compensation Report of Injury Form

 

The "Workers Compensation Report of Injury" form must be completed.

 

Once completed, sign the Employee Certification section (the form may be completed electronically or on paper, but must be printed and signed). Submit the completed form to your Supervisor or other person authorized by your department to sign the Employer Certification. Do not wait to turn in the form. If your supervisor is not available, please submit the form to Human Resources. If you need assistance call 307-766-2290.

UW First Report of Accident/Incident

 

If a work-related injury meets any of the following criteria, the "UW First Report of Accident/Incident" must also be completed. Once completed, send the form to the UW Risk Management Office.

For injuries/incidents (including employee injuries) involving:

  • a motor vehicle being used for university business
  • damage to university property
  • injury to a third party
  • Student Injuries and incidents (not UW employees)

You may need to report the injury or incident to other UW committees such as the UW Institutional Animal Care & Use Committee (IACUC), Institutional Biosafety Committee (IBC), or Radiation Safety Committee (RSC).

  • You may be needed to provide expertise, assistance, or advice regarding the injury or incident.

  • Further UW investigation and reporting may be required to be submitted to other State or Federal agencies.

Questions? 

For questions regarding injury and incident reporting, contact: