Forms

STUDENTS

• Insurance Waiver Form
• Insurance Enrollment Form
• Report Misconduct Form

EMPLOYEES 

• Workers Comp First Report of Injury Form
• Authorization Form
• Supervisor Accident Investigation Report Form
• Report a Safety Concern Form
• Near Miss Form
• Responsible Employee/ CSA Report Form

Please contact the Risk Management office with questions.

Andrew Myaing 

Director of Risk Management

Phone: 423.236.2266

E-mail: amyaing@southern.edu