Employee Occupational Health Forms
University of Cincinnati Initial Report on Occupational/Work-Related Injury or Illness
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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)
Contact Us
University Health ServicesRichard E. Lindner Center
2751 O'Varsity Way, 3rd Floor
Cincinnati, OH 45221-0010
Mail Location: 0769
Phone: 513-556-2564
Fax: 513-556-1337