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University of Wisconsin Stout | Wisconsin's Polytechnic University

Inspiring Innovation.

At UW-Stout, Wisconsin's Polytechnic University, we are inspiring innovation.

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Home / Human Resources / Worker's Compensation
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Human Resources

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Worker's Compensation

Worker's Compensation Web Presentation [PDF]

Worker's Compensation - Writing Injury Descriptions [PDF]

Worker's Compensation Forms 

  • Employer's First Report of Injury or Disease [DOC]
  • Employee's Work Injury and Illness Report [PDF]
  • Labor Market Availability Restriction Statement [PDF]
  • Supervisor's Accident Analysis and Prevention Report [DOC]
  • Employer and Insurance Carrier Instructions [PDF]
  • WC Medical Authorization HIPPA [PDF]
  • WC 5-Yr Medical Form [PDF]
  • WC Mileage Record [PDF]

Additional Links

  • UW System Office of Safety & Loss Prevention
  • Dept of Workforce Development - Home Page
  • Dept of Workforce Development - Worker's Compensation
  • Dept of Workforce Development - Facts for Injured Workers

Contact Information

Human Resources
203 Admin Bldg
Phone: 715/232-2149

Meet Our Staff

Annual Report/Mission Statement

University Personnel Systems DevelopmentmyUWSystemAskHR

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712 South Broadway St., Menomonie, WI 54751

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