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Department of

University Health Services

Employee Occupational Health Forms

University of Cincinnati Initial Report on Occupational/Work-Related Injury or Illness

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    On-Line Form

A-1352(a) Initial Report on Work Related Injury or Illness

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)

New Employee – Supervisor Checklist

New Employee - Supervisor Checklist