Forms
Occupational Health Forms can be retrieved by clicking on the following links:
Authorization to Release Medical Information
IUPUI Employee Vaccination Authorization Form
IU Employee Travel Vaccination Authorization Form
TB Respirator Program Questionnaire
IU Incident Report
The IU Incident Report is not available online. It may be obtained only
from your supervisor.
IU Risk Management Incident Reporting Form
For non-Worker's Compensation cases (i.e. student injuries).
Clarian Accident
Report
Choose the appropriate form in the EOHS section.
Clarian Exposure
Choose the appropriate form in the EOHS section.
