Student Services Building, Room 6381
Monday - Friday 8 a.m. to 5 p.m.
Phone (323) 343-3657 | Fax (323) 343-3662
Titles |
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Word |
Excel |
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Employee's Report of Occupational Injury or Illness |
Employee's Report of Occupational Injury or Illness-PDF | ||
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Supervisor's Report of Occupational Injury or Illness |
Supervisor's Report of Occupational Injury or Illness-PDF | ||
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Workers' Compensation Personal Physician Designation |
Workers' Compensation Personal Physician Designation-PDF |
