Workers' Compensation Forms
Supervisor's Report of Injury
1. Download form to computer
2. Fill out form in Adobe
3. Print Form
4. Supervisor signature is required
5. Supervisor send form to ehs@txstate.edu & kb1569@txstate.edu
For questions please call Katherine Beamer at 512-245-3616
Claims Procedure Checklists
Authorization for Release of Information
Employee's Report of Injury
Request for Travel Reimbursement
Witness Statement
Employees Election Regarding Utilization of Sick and Annual Leave
Medical Reimbursement Request Form
SORM/CareWorks Network Acknowledgement Form