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Minnesota State University, Mankato
Minnesota State University, Mankato

First Report of Injury

Page address: http://www.mnsu.edu/hr/workcomp/workcomp.html

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!

Contact Info

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Employee
Student Worker


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)






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Part-Time Full-Time

Select ALL applicable days and enter the applicable start and end times!


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Incident Data

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Student Worker Data

ONLY COMPLETE THIS SECTION FOR STUDENT WORKERS






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