All Forms

On-Line Request for Certificate of Insurance

 

 

 

 

Job Related Injury

Workers' Compensation Procedure

The Department of Risk Management at the University of Denver manages the workers' compensation program for the University.  Specific procedures for obtaining assistance and notifying the University of a work-related injury are outlined below.

Click here for Workers' Compensation Procedure

 

Workers' Compensation Provider Choice Letter

The Workers’ Compensation Provider Choice letter must be given to the employee at the time of injury.  If it is not possible to give the employee the letter, i.e. a serious/life threatening injury, the letter must be given to the employee within seven (7) days of the injury.

Click here for Workers' Compensation Provider Choice Letter (.pdf)

 

Work Related Injury Form

The injured employee must complete the Employee's Work Related Injury Report and fax it to 303.871.4455 WITHIN 24 HOURS of the injury.

Click here for First Report of Injury (.pdf)

 

Supervisor's Review of Injury

The circumstances of an accident need to be investigated and reviewed to accurately determine the cause.  Use this report to identify the causes of the accident.  THIS FORM SHOULD BE RECEIVED BY RISK MANAGEMENT WITHIN 24 HOURS AFTER THE ACCIDENT. 

Click here for Supervisor Report of Injury (.pdf)