On-the-Job Injury Reporting Procedures:

• The injured employee must notify their supervisor or HRO immediately!
• Treatment for non-life-threatening injuries can be sought at Peachtree Occupational Medicine or Concentra. Detailed information on the treatment facilities can be found under “Treatment Locations”.
• The injured employee’s supervisor or HRO must report the incident to the Office of Insurance and Risk Management (IRM) within 24 hours.
  • IRM should not receive the first notice of injury report from the injured employee.
  • If the injured employee has not sought treatment or does not plan to seek treatment, IRM will record the incident as “Record Only”. 
• IRM will report injuries to the Georgia Department of Administrative Services (DOAS) for further processing. Once received, IRM will provide the injured employee, the employee’s supervisor, and HRO with the Workers’ Compensation Claim #.
• Exception: If an employee is involved in an auto accident, they must call Net Claims and Net Claims will collect injury information in addition to auto damage information.

Worker’s Comp Reporting Procedure

Required Documentation:

Supervisor or HRO

• GSU Modified WC-1
• Georgia Activity Analysis – send back with the employee for follow-up appts. if applicable

Injured Employee

• Acceptance/ Declination of Medical Treatment
• Leave Election
• Employee Accident Statement

Witness (if applicable)

• Witness Accident Statement

The employee is required to submit a work status form from the treating physician to their supervisor and the Office of Insurance & Risk Management following each medical visit.

Please only use the forms provided on the Office of Insurance and Risk Management website. Completed forms must be submitted to Insurance and Risk Management at: [email protected].

Download Injury Reporting Procedures