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Employee Occupational Health Forms

University of Cincinnati Initial Report on Occupational/Work-Related Injury or Illness

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    On-Line Form

A-1352(a) Initial Report on Work-Related Injury or Illness
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A1352a (PDF)

Appendix D – Respirator Medical Evaluation

Appendix D – Respirator Medical Evaluation (PDF)

State of Ohio, Bureau of Workers Compensation First Report of Injury (FROI)

State of Ohio, Bureau of Workers Compensation First Report of Injury (FROI)

New Employee – Supervisor Checklist

New Employee - Supervisosr Checklist (PDF)


 

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University Health Services

Richard E. Lindner Center
2751 O'Varsity Way, 3rd Floor
Cincinnati, OH 45221-0010

Mail Location: 0769
Phone: 513-556-2564
Fax: 513-556-1337