Employee Safety: Safety – Workers’ Compensation Forms

When an employee experiences a workplace injury or illness, workers’ compensation insurance covers related medical care, part of lost wages and permanent disability. Employees should report all work-related injuries to their supervisors immediately no matter the severity.

The employee and supervisor should complete a thorough investigation of the incident/accident using the Workers Comp Power App.

(Power app instructions)

Additional Forms needed:

Authorization for Initial Treatment

Return to Work Form

Leave Option Election

For questions regarding Worker’s Compensation forms – contact sto.hrm.workerscompensation@okdhs.org

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