RN to BSN Program
EUP Employees
- Supervisor Procedures for Reporting Work-Related Injuries/Illnesses
- Employee Workplace Injury Reporting Instructions (7 pages)
- Employer's Report of Occupational Injury or Disease Form (Injury Report)
- Witness Statement
- Workers' Compensation Employee Notification Form
- Memo and Panel Physician/Provider List
- Physical Capacities Checklist Form
- Work-Related Injury Leave Codes (AFSCME, PSSU, SPFPA, Physicians)
- Work-Related Injury Leave Codes - WRDL (Nurses, Faculty, SCUPA, Coaches, Manager)
- FMLA Notice to Employees for Injury Leave
- Information Sheet for Work-Related Injuries - Injury Leave (AFSCME, PSSU, SPFPA, Physician)
- Information Sheet Work-Related Injuries - Injury Leave - WRDL (Nurses, Faculty, SCUPA, Coaches, Manager)
Student Employees
- Student Employee Supervisor Procedures for Reporting Work-Related Injuries/Illnesses
- Student Employee Workplace Injury Reporting Instructions (7 pages)
- Student Employer's Report of Occupational Injury or Disease Form (Injury Report)
- Witness Statement
- Workers' Compensation Employee Notification Form
- Memo and Panel Physician/Provider List
- Physical Capacities Checklist Form
Contact Information
Wayne E. Patterson, Assistant Director
Human Resources & Labor Relations
Workers' Compensation Coordinator
Reeder Hall, 2nd Floor
219 Meadville Street
Edinboro, PA 16444
Telephone: (814) 732-2703
Fax: (814) 732-2885
Email: wepatterson@edinboro.edu
