Workers' Compensation- Employee Accident/Illness
How to Report a Work-Related Accident or Illness
Click here to report a work-related accident or illness
Contact Us
If you have any questions, please reach out to one of the contacts below:
📧 Main Email
Emilie Wright
Risk & Claims Analyst
📧 Emilie.Wright@D11.org
📞 (719) 520-2341
Hank Hahne, ARM-P
Risk Manager
📧 Hank.Hahne@D11.org
📞 (719) 520-2490
Work-Related Injury Reporting
Instructions:
-
Open the form link
-
Go to File > Download
-
Print the form
-
Complete all required fields
-
Return the completed form to Risk Management following the instructions provided
Work Related Injury Resources
- How to Report a Work Injury- COMING SOON
- Work Comp FAQs- COMING SOON