Supervisors must complete the following information and click the "Submit" button at the bottom of this page.
The screen will display a confirmation message upon successful submission!
Employee - Enter the State of MN Employee ID (a.k.a. SEMA4 ID, or Payroll ID)
Student Worker - Enter the Student Tech ID (Listed on Mavcard)
* Status select one:
Select ALL applicable days and enter the applicable start and end times!
Date of Injury: (mm/dd/yy)
Time of Injury:
Date HR Notified: (mm/dd/yy)
ONLY COMPLETE THIS SECTION FOR STUDENT WORKERS