Work Injury

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If you are injured at work, it is important that you notify your supervisor immediately. Paperwork must be completed and submitted to Human Resources. If you have any questions, please contact Megan Martin, HR Generalist.
 
ALL FORMS SHOULD BE HAND DELIVERED OR SCANNED TO HR WITHIN 24 HOURS FROM THE DATE OF INJURY TO ENSURE TIMELY PROCESSING.
 
Employee Forms
 
Employee Report of Injury must be completed and submitted to your supervisor within 24 hours from the date of injury.
 
Injured employees may keep these forms for their record:
 

 

Supervisor Forms
 
Supervisor Report of Injury must be completed and returned to Human Resources, along with the employee's Report of Injury form within 24 hours from the date of injury.
 
When treatment is received outside of the recommended clinic(s), the supervisor should fill in the necessary fields on the City of Eagan Letter to Provider . The employee should then provide the letter to the treating provider.