Employees

• First Report of Injury Forms Packet (PDF)
• Please complete and return all forms via email to stacy.cunningham@richlandone.org and beverley.leeper@richlandone.org 

 Students

• Student Incident Report (PDF)

 Non-Employee/ Non-Student

• Non-Employee/ Non-Student Incident Report (PDF)

Other

• 1st Report of Injury (PDF)
• Medical Release Authorization Form (PDF)
• Wage and Sick Leave Verification (PDF) 
• Employee Acknowledgement Letter
• Witness Statement (PDF)