Required Claim Documents

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

   Incident Management
   

   In-Person

   Risk Management
   108B Risk Management Building
   

   Fax

   Fax: (801) 422-0711

   Mail

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