First Report of Injury or Illness

Overview

All first report of injuries or illnesses should be submitted within 24 hours through the Origami Portal to ensure compliance for timely submission.

Use this service request to ask questions about:

Submit First Report of Injury or Illness Form through the Origami Portal: Guidance on how to properly submit the required form for reporting an injury or illness.

Eligibility

All employees whose names appear on the payroll of the University are covered under the program at no personal expense. This coverage includes student and wage employees.

Resources

Contaminated Sharps Injury Reporting Form: This form must be completed by all faculty, staff, and students who experience a contaminated sharps injury.
HR Incident Guide: Guide for Employee Relations to verify and submit incidents to WCI for claims processing.
Notice to Employees of Workers Compensation Insurance: Informs employees that Workers' Compensation Insurance coverage is provided in accordance with Chapter 502 of the Texas Labor Code.
Notice of Injured Employee Rights and Responsibilities: Informs employees of their rights and responsibilities under the Texas Workers' Compensation system.
Notice to Healthcare Providers of Workers' Compensation Insurance Coverage: Informs healthcare providers about the workers' compensation insurance coverage for employees, including details on medical care, billing, reimbursement, and provider responsibilities.
Workers' Compensation Information: Outlines the WCI program, detailing medical coverage, disability payments, and the process for reporting work-related injuries.

Need More Help?

Click the "Report an Injury" button on the top right of this page. Complete the required fields and submit the request. You will receive an open ticket notification. If additional information is needed, you will be contacted by the respective support team. Ticket status can be tracked in the portal under the View Tickets tab.

NOTICE: Protecting Your Privacy and Ensuring HIPAA Compliance
At HROE, we are dedicated to safeguarding your privacy and ensuring full compliance with the Health Insurance Portability and Accountability Act (HIPAA). Please note that TeamDynamix is not designed to store or manage any personal identifiable information (PII) or protected health information (PHI).

To uphold the highest standards of data protection, we kindly ask that you refrain from sharing any PII or PHI in this electronic form.

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First Report of Injury or Illness