Injuries & Illnesses
Work-related Employee/Volunteer Injury & Illness Reporting
In the event of any work-related injury or illness no matter how minor, the supervisor and employee/volunteer must notify AmeriSys at 1-800-455-2079 and complete the following form. For additional details, see the Workers' Compensation page.
- Supervisor Injury & Illness Report Form (Revised 04/2019)
- Note: Form works best using Internet Explorer.
Non-Employee Injury & Illness Reporting
In the event of an injury or illness to non-employees while at USF locations, or at USF sponsored events, complete the following form.