Employee Injury or Illness Report - Witness Statement

Service Overview

If you witnessed the circumstances of a UD employee who was injured or became ill from a work-related cause, complete this form to document the incident you observed as soon as possible. Click the "Submit" button to start filling out the form.

Available To

  • Faculty
  • Staff
  • Students

Related Services

Employee Injury or Illness Report

Supervisor Statement of Employee Injury or Illness Report

 
Submit

Details

Service ID: 43086
Created
Thu 4/16/20 7:56 PM
Modified
Wed 3/22/23 7:44 AM