IUPUI or IU Employees
Step I Notify supervisor of injury or exposure immediately.
Step II Provide written notice within 7 days of Injury. Download and complete the Occupational Injury/Illness form. The second page is an Authorization for Medical Records.
Step III Print and complete the appropriate form
Needlestick and Sharp Object Report
Blood and Body Fluid Exposure Report
Step IV Please bring or fax (317-278-4418) the Occupational Inury/llness report form (both pages) to IUPUI Campus Health. Or you can email the forms to healthsv@iupui.edu, Subject: OUCH.
Failure to turn in the forms within 7 days may result in claim denial.