Environmental Health Services
Colorado State University
141 General Services Building
Ft. Collins, CO 80523-6021
Ph: 970-491-6745
Fax: 970-491-4804
email: EHS@ColoState.edu

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Workers' comp home


Online First Report of Injury & Workers' Compensation

Initial Online First Report of Injury Requirements

  1. Employee's Statement Part I.

    An employee who is injured or suffers an occupational disease as a result of a job must submit an online form (First Report) within 4 days. Failure to do so can result in the loss of one day's benefits for each day's failure to report. The employee is to complete the online form and submit it to their Departmental Designated Person.

  2. Departmental Designated Person Section Part II.

    The Departmental Designated Person (DDP) will receive an email notification of the injured employee submission. Once notified the DDP should log into the EHS Workers' Comp. Site to review the employee's statement and complete the required departmental section and submit the completed form to EHS.

The employee's Departmental Designated Person must review the information provided for accuracy, giving special attention to contributing conditions or circumstances which led to the accident/exposure.



Frequently Asked Questions

1. How do I ?

Neeed Info.....

Health Care Providers Contacts

Print Contacts

Work Comp. Health Care Providers Contacts

Emergency Care

Poudre Valley Hospital Emergency Dept

1024 South Lemay Ave
Fort Collins, CO
(970) 495-7000
24 hours, 7 days per week
Website
Find it on Google Map

Walk-In Urgent Care, Appts & Testing

Concentra

2620 East Prospect Road, Suite 160
Fort Collins, CO
(970) 221-5811
Mon-Fri, 8:00am - 6:00pm
Website
Find it on Google Map

Walk-In Urgent Care, Appts & Testing

General Care Medical Clinic

620 South Lemay Ave.
Fort Collins, CO
(970) 482-6620
Mon-Fri, 8:00am - 7:00pm Sat, 9:00am - 5:00pm Sun, 10:00am - 2:00pm
Website
Find it on Google Map

Walk-In Urgent Care, Appts & Testing

WORKWELL

1608 Topaz Drive
Loveland, CO
(970) 593-0125
Mon-Fri, 8:00am - 5:00pm
Website
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Walk-In Urgent Care, OHS, Appts & Testing

Poudre Valley Hospital Occupational Health Services

1330 Oakridge Drive
Fort Collins, CO
(970) 495-8450
Mon-Fri, 7:00am - 6:00pm
Website
Find it on Google Map

Walk-In Urgent Care, OHS, Appts & Testing

Poudre Valley Hospital Occupational Health Services

1025 Pennock Place
Fort Collins, CO
(970) 495-8450
Mon-Fri, 8:00am - 5:00pm (closed from 12 Noon to 1:00 PM daily)
Website
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List of Departmental's Designated People



Designated PersonDeptDept CodePhone Num
Hogestad, VedaApartment Life8043 (970) 491-4736
Siefken, DianeApartment Life8043 (970) 491-4751
Gehrke, CarolAsian/Pacific American Student Services8018 (970) 491-2324
Castor, LindaAsian/Pacific American Student Services8018 (970) 491-1653
Sonday, LoraBiomedical Sciences-Physiology1680 (970) 491-7203
Marshall, JanetBiomedical Sciences-Physiology1680 (970) 491-6760
Solomon, KarenBiomedical Sciences-Physiology1680 (970) 491-5036
Dewbre, CarolBiomedical Sciences-Physiology1680 (970) 491-6187
Hein, MelissaBiomedical Sciences-Physiology1680 (970) 491-6098
Murphy, TerrieBiomedical Sciences-Physiology1680 (970) 491-8626
Martin, BrendaBiomedical Sciences-Physiology1680 (970) 491-7379
Castor, LindaBlack Student Services8016 (970) 491-1653
Gehrke, CarolBlack Student Services8016 (970) 491-2324
Gehrke, CarolBookstore8035 (970) 491-2324
Castor, LindaBookstore8035 (970) 491-1653
Bangert, LariCampus Recreation8027 (970) 491-7813
Smeltzer, MarshaCampus Recreation8027 (970) 491-2011
Gehrke, CarolCareer Center8008 (970) 491-2324
Castor, LindaCareer Center8008 (970) 491-1653
Horvath, JessicaCEMML1490 (970) 491-1391
Thompson, AngelaCEMML1490 (970) 491-1521
Suniga, GregoryClinical Sciences1678 (970) 491-0951
Reid, JoyceClinical Sciences1678 (970) 297-4260
Davis, RobertaClinical Sciences1678 (970) 491-0511
Hogestad, VedaConference Services8037 (970) 491-4736
Siefken, DianeConference Services8037 (970) 491-4751
Gehrke, CarolConflict Resolution and Student Conduct Services8015 (970) 491-2324
Castor, LindaConflict Resolution and Student Conduct Services8015 (970) 491-1653
Castor, LindaDining Services8030 (970) 491-1653
Gehrke, CarolDining Services8030 (970) 491-2324
Whitehead, MarieEnvironmental and Radiological Health Sciences1681 (970) 491-6151
Asmus, JulieEnvironmental and Radiological Health Sciences1681 (970) 491-5222
Wright, MerryEnvironmental and Radiological Health Sciences1681 (970) 491-0294
Remsik Larsen, JuliaEnvironmental and Radiological Health Sciences1681 (970) 297-4253
Pena, DanielEnvironmental Health Services6021 (970) 491-4834
Wartenbe, AnidaEnvironmental Health Services6021 (970) 491-6745
Balliet, DonnaFacilities Management6030 (970) 491-0055
Dahleen, KimFacilities Management6030 (970) 491-0051
Adams, LoisFacilities Management6030 (970) 491-0054
Monzingo, LisaFort Collins - Diag Lab1644 (970) 297-4163
Kammerzell, JamesFort Collins - Diag Lab1644 (970) 297-1298
Heighes, ConnieFort Collins - Diag Lab1644 (970) 297-5061
Siefken, DianeHDS Administration8045 (970) 491-4751
Hogestad, VedaHDS Administration8045 (970) 491-4736
Hogestad, VedaHDS Operations Management8046 (970) 491-4736
Siefken, DianeHDS Operations Management8046 (970) 491-4751
Siefken, DianeHDS Technology Services8047 (970) 491-4751
Hogestad, VedaHDS Technology Services8047 (970) 491-4736
Castor, LindaLory Student Center8033 (970) 491-1653
Gehrke, CarolLory Student Center8033 (970) 491-2324
Burt, PamelaMicrobiology, Immunology and Pathology1682 (970) 491-7486
Seay, WendyMicrobiology, Immunology and Pathology1682 (970) 491-0555
Guillory, AndreaMicrobiology, Immunology and Pathology1682 (970) 491-6798
Pundt, LindaMicrobiology, Immunology and Pathology1682 (970) 491-1630
Siefken, DianePingree Park8044 (970) 491-4751
Hogestad, VedaPingree Park8044 (970) 491-4736
Hogestad, VedaRamCard Office8041 (970) 491-4736
Siefken, DianeRamCard Office8041 (970) 491-4751
Siefken, DianeResidence Life8032 (970) 491-4751
Hogestad, VedaResidence Life8032 (970) 491-4736
Hogestad, VedaResidential Dining8034 (970) 491-4736
Siefken, DianeResidential Dining8034 (970) 491-4751
Castor, LindaStudent Media8038 (970) 491-1653
Gehrke, CarolStudent Media8038 (970) 491-2324
Miller, KarinVeterinary Teaching Hospital1620 (970) 297-1268
Sexton, KathieVeterinary Teaching Hospital1620 (970) 297-1263