On-the-Job Injury

Effective October 1, 2003 all work-related injuries must be reported using the new electronic version of "Employer's Report of Occupational Injury or Disease." (a web-based replacement for the paper form LIBC-344).  Paper versions of this form are no longer valid after September 30, 2003.

Employees have the obligation to report work-related injuries to their supervisor. As outlined in University Policy SY04 "Employee Accidents - Reporting and Investigation," the supervisor of the injured employee is responsible for the immediate completion of the Employer's Report of Occupational Injury or Disease form.  The new electronic form requires a Penn State User ID and will prevent employees from completing their own report of injury.

A link to the new injury report form, along with other valuable workers' compensation information, is available through the University's Workers' Compensation website at: