In the event of a work-related injury or illness, complete this form.
If you are the supervisor of an employee who has been injured or become ill from a work-related cause, complete this form to document the circumstances.
If you witnessed the injury of a UD employee, complete this form to document the incident.
Complete this form if you are the supervisor or "designee" of a UD employee who is separating or retiring from the University.
Complete this form if you are a UD staff employee voluntarily separating from the University.