Forms
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Attention: 

 

Workers' Compensation & Risk Management has moved to

4747 Troost, Rm. 23.  Our new facsimile number is

816 235-6559.  Please direct all correspondence to this location.

 

 

Accident & Incident Forms

     UMKC Report of Employee Injury

     Damage Report (University Property)

     Student or General Public Injury or Property Damage Report

     Theft Report

     Vehicle Accident Report

Other Forms

     Application for Protective Eyewear

     Application for Protective Footwear

     Personal Property Check Out Form

     Equipment/Property Check-Out Form (for off campus use of equipment)

     Student Travel Accident Insurance Reporting Form

     Vehicle Data Update Form (University Vehicles)

     Voluntary Services Certification Form

 

     Workers' Compensation Bulletin Board Poster

 

    

MOST FORMS MAY BE FILLED ON-LINE AND THEN PRINTED LOCALLY

              

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