Completed by the Employee

• Incident Report – Required from the employee for a potential worker’s compensation injury.
• Choice of Doctor Form – Required from the employee if seeking medical treatment.
• Choosing a Doctor – Informational for the employee if seeking medical treatment.

Completed by Supervisor or School Nurse

• Accident Investigation Report – Required from the supervisor or nurse for a potential worker’s compensation injury.

All completed forms must be submitted to the ESU 8 Business Office for insurance submission.