Workers' Compensation Accident Reporting

Certain forms are required to report a work related injury or illness. It is the responsibility of the supervisor and/or employee to complete and dispose of the appropriate form(s).

Once completed, original copies of form(s) should be sent to:

Office of Risk Management
2033 K Street NW, Suite 220
Washington, DC  20052

You can also fax forms to us: 202-994-0130.

Forms

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

To be completed and signed by the supervisor, then by the physician and pharmacist. Authorizes the treatment of the injured employee at the GW Emergency Room or Student Health Services