Employee Injury Forms

Pattonville staff members should use the below form links in conjunction with injuries at the workplace. Each form can be accessed by clicking on the form title. The form links included on the memo that was sent at the beginning of the 2017-18 school year will continue to work. Please contact Annsley Bishop in Human Resources at extension 1065 if you have any questions or need assistance with the forms.

For nurse/supervisor/administrators to complete and give to injured employee before they leave for treatment:

MUSIC Authorization for Treatment Form

For the direct supervisor to complete immediately after being made aware of injury:

Workers' Compensation Supervisors Accident Investigation Report

For employee to complete as soon as possible after an injury at the workplace occurs:

Employee Injury Report