Workers' Compensation and Incident Reporting

Workers' Comp (compensation) forms and employee, supervisor, and witness reports

Insurance Fraud PSA
 
Mon, 21 Aug, 2023 at 3:05 PM
Supervisor Report
 
Mon, 21 Aug, 2023 at 3:05 PM
Decline Medical Treatment Form
 
Mon, 21 Aug, 2023 at 3:33 PM
Workers' Compensation and Employee Incident Reporting
Please submit all incident reports electronically within 24 hours to hr@duluthedison.com. Please see your supervisor if you need assistance.
Mon, 5 Feb, 2024 at 1:43 PM
Witness Report
 
Mon, 21 Aug, 2023 at 3:36 PM
If You're Injured at Work - Posters
Posters with contact info of providers for injuries that occur at work
Wed, 27 Aug, 2025 at 8:58 AM
Acknowledgement of Restrictions
Acknowledgement of Restrictions Please take care to fill out the correct form (Worker's Comp vs. Non-Worker's Comp). If you are unsure of which ...
Mon, 8 Sep, 2025 at 12:31 PM