Instructions for Supervisors

1. Complete a Supervisor's Report of Incident, Injury, or Illness (see instructions below).
2. If applicable, have any witnesses complete the Witness Statement. Send original Witness Statement to Worker's Compensation Specialist within two days. 
3. Immediately notify the Worker's Compensation Specialist if the employee will need (or has received) medical treatment. 
4. Fax or provide a copy of the supervisor's report to the Worker's Compensation Specialist within 24 hours. 
5. Do not allow the employee to return to work before clearing it with the Worker's Compensation Specialist. 

1. Download the Supervisor's Report of Incident, Injury, or Illness
2. Fill out form in Adobe
3. Print form
4. Sign the form (supervisor signature is required)
5. Upload forms on the following site: https://securetransfer.txstate.edu/filedrop/EHSRM-WorkersCompensation

Do not send forms to ehsrem@txstate.edu

For questions during business hours, please call 512-245-3616

For questions outside business hours, please call 512-738-6650