Workers' Compensation
In Case Of an Injury
Claim Forms
Questions regarding Workers' Compensation claims should be directed to the Office of Human Resources.
- Occupational Injury or Illness Employee Report
- Occupational Injury or Illness Supervisor Report
- Witness/Co-Worker's Statement
- Consent for Release of Protected Health Information
- Mandatory Medicare Reporting/Child Support Lien Requirement
- Workers Compensation-Sick/Annual Accrued Leave Election Form
- Medical Mileage Expense Form
In an emergency, the employee should be referred to the nearest hospital or emergency room. Contact Campus Police if an ambulance is needed.
For non-emergency injuries, please contact the Office of Human Resources; the employee will be referred to a first responder as noted on the appropriate Medical Care Authorization Form:
- Medical Care Authorization Form - Tahlequah
- Medical Care Authorization Form - Muskogee
- Medical Care Authorization Form - Broken Arrow
- All employees who suffer a workplace injury should be provided a copy of Information for Injured Workers (PDF)
Effective November 15, 2011, employees who suffer a workplace injury will be subject to post-accident testing under the University Workplace Drug Testing Policy.
Reporting an Injury
For a quick overview of the claims process, please review the Infographic for All Workers' Comp Incidents.