University of Minnesota's is also available on the web. Both sites provide links to the forms listed below. This policy explains the procedures and provides the necessary reporting forms. Please note that there are additional reporting requirements for any injuries or illnesses that occur while working on an IBC-approved protocol. The IBC injury report form can be found on the . Employee Responsibilities: Immediately - Notify your Supervisor. Your Supervisor will assess the situation, assist with arranging proper medical care and begin the injury reporting process. Promptly cooperate with your Supervisor and the in the completion of all relevant documents. Supervisor Responsibilities: Immediately - Assess the incident and assist the Employee in seeking appropriate medical care or necessary treatment for any work-related injury. If an injury is a potential emergency, call 911. Provide the Employee with list of , and . Within 8 business hours - Complete the online form, or Complete the paper First Report of Injury form and fax it to the Claims Administrator. Within 24 business hours - Complete a and email or fax to the Claims Administrator at Sedgwick Claims Management Services. Fax number: 952 826 3785 or email If an Employee reports an on-the-job injury which may not be compensable, the First Report of Injury form must still be submitted. Contact the Claims Administrator with any questions regarding claim compensability. 7.4. Information Provided to Physician The employee's supervisor or department will collect and transmit the following information to the examining physician: Identification of the hazardous substance(s) to which the employee may have been exposed;
University of Minnesota's is also available on the web. Both sites provide links to the forms listed below. This policy explains the procedures and provides the necessary reporting forms. Please note that there are additional reporting requirements for any injuries or illnesses that occur while working on an IBC-approved protocol. The IBC injury report form can be found on the . Employee Responsibilities: Immediately - Notify your Supervisor. Your Supervisor will assess the situation, assist with arranging proper medical care and begin the injury reporting process. Promptly cooperate with your Supervisor and the in the completion of all relevant documents. Supervisor Responsibilities: Immediately - Assess the incident and assist the Employee in seeking appropriate medical care or necessary treatment for any work-related injury. If an injury is a potential emergency, call 911. Provide the Employee with list of , and . Within 8 business hours - Complete the online form, or Complete the paper First Report of Injury form and fax it to the Claims Administrator. Within 24 business hours - Complete a and email or fax to the Claims Administrator at Sedgwick Claims Management Services. Fax number: 952 826 3785 or email If an Employee reports an on-the-job injury which may not be compensable, the First Report of Injury form must still be submitted. Contact the Claims Administrator with any questions regarding claim compensability. 7.4. Information Provided to Physician The employee's supervisor or department will collect and transmit the following information to the examining physician: Identification of the hazardous substance(s) to which the employee may have been exposed;