Workers' Compensation Claim Forms

  1. The supervisor must fill out the Injury Report Form.
  2. The employee must complete and sign the Employee Statement form.
  3. The employee must deliver the statement to BYU Risk Management using one of the following methods:

    Email

    Nycole Crossette

    In-Person

    Risk Management
    251 FB

    Fax

    Fax: (801) 422-0711

    Mail

    Risk Management
    P.O. Box 20100
    Provo, UT 84602-0100