Workers' Compensation Accident Reporting

Certain forms are required to report a work related injury or illness. It is the responsibility of the supervisor and employee to complete the form noted below.

Once completed, email the forms to riskgwu [dot] edu (risk[at]gwu[dot]edu).

Forms

Authorization for Medical Treatment (ORM-3) (PDF)

To be completed and signed by the supervisor, followed by the physician and pharmacist. This form authorizes treatment of the injured employee at the GW Hospital Emergency Room or, if the employee is a student, the Student Health Center.