ࡱ> xzuvwc +"bjbj MffI   8A 62&&&1111111$ 461&$&&&1A18***&^1*&1**V/@#0+}L&6/ s11<62/T7(H7#07#0P&&*&&&&&11^)<&&&62&&&&7&&&&&&&&& : TSU Police Report # _______________ DOB:________________ EMPLOYEE'S FIRST REPORT OF INJURY Dear University Employee: We have received a report that you were injured in the course of your employment. To process your claim efficiently, please fill in all lines completely and print legibly. Attach additional sheets if necessary. Name:________________________________________ Last First MI Maiden Address:______________________________________ City: ___________________State: _______ Zip_______ Primary Phone Number:________________________________ Secondary Phone Number:______________________________________ Email address:______________________________________ Social Security #:_____________Gender: M / F Date of Injury: ________ Time of Injury:______ Marital Status: Single Married Divorced Widowed Unknown (Circle One) Job Title:__________________________________ Work Schedule:______________________________ Supervisors Name:_________________________________ Supervisors Telephone___________________Did the employee remain on duty? Yes No Was medical care declined on the date of injury? Yes No Was the employee taken by ambulance to the emergency room? Yes No If yes, to what hospital? ___________________________________________________________________ 1) What was the exact location of the accident (building name, stairs, dock, floor, room #): 2) What was the employee doing just before the incident occurred? Describe the activity, as well as the tools, equipment or material the employee was using. Be specific. Attach additional pages if necessary. 3) Briefly describe exactly what caused the injury: 4) What areas of the employees body were injured? Be more specific than hurt, pain or sore and include right or left to indicate the exact location. 5) What object or substance directly harmed the employee? Examples: concrete floor, saw, acid, desk, chair. 6) When and to whom did you report your injury? Date_______________________Time____________ Name: _______________________________ Title________________________ Phone Number: ___________________________ 7) List all known witnesses. (Continue on back if necessary) Name ___________________________________ Phone:_________________ Name ___________________________________ Phone:_________________ Name ___________________________________ Phone:_________________ 8) Please identify your Primary Care Physician or family doctor: Name:___________________________________ Phone: _________________  9) Please list the names and phone numbers of all treatment providers you have seen for your injury: Name:_________________________________________ Phone: ________________________ Name:_________________________________________ Phone:________________________ 10) Has a doctor taken you off work? Yes No If so, when was the first day you missed work? _________________  11) If the doctor took you off work, have you returned to work? Yes No If not, when do you think you will return to work? _____________  12) Date of Last Appointment: ___________________________ Date of Next Appointment: _________________________  13) Have you had previous workers compensation injuries? Yes No If Yes, please enter dates of injuries and the body parts injured. By affixing my signature, I attest that all information on this form is accurate and true. Injured Employee Signature:___________________________________Date:________________________ Printed name of person completing this form: (If other than the injured employee) ________________________________ Signature _____________________________ Supervisors Signature:___________________________________Date:____________________________ Instructions Employee's Report of Injury Purpose of Form: Injured employees complete this form to provide the Office of Risk Management with information pertaining to the circumstances surrounding an injury and what has happened since the date of injury. This will help to expedite benefits in a timelier manner. Step 1. Dial 713-313-7000 to report the injury to the Department of Public Safety - (Campus Police) and report the injury to your supervisor immediately. Step 2. Complete the Employees First Report of Injury (TSU SORM 29). This form shall be completed by the injured employee with assistance from the Supervisor or Accident Investigator, if needed. Address each of the questions completely and use additional pages if necessary. Provide a complete picture of the events surrounding the injury and how the injury occurred. Supply names and phone numbers of any witnesses, physicians/treatment providers. The employee should enter any previous workers compensation claims and the body parts injured. Sign and date the form thereby attesting that all information on the form is true and complete. Step 3. Complete the Authorization for Release of Information (SORM 16) and the Employees Election Regarding the Use of Sick and Annual Leave for General Employees (SORM 80). If medical attention is required an authorization for examination and/or Treatment will be provided for you. All University employees are required to seek attention at an authorized CompKey+ Health Care Network provider. The CompKey+ HCN is designed to provide employees with access to primary and specialty medical providers who are familiar with workers compensation injuries and who will provide high quality medical care to help facilitate quick recovery and return to work. Several providers are conveniently located throughout the city for your convenience. Step 4. Return the completed original TSU-SORM 29 along with the SORM 16, SORM 80, SORM 74 and the Supervisors Report of Injury to the Office of Risk Management GSB, Suite 213-D, not later than 24 hours after an employee injury or illness. Step 5. 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