Individuals in the Occupational Health Program will need to cerify their enrollment and complete their required training in Safety Skills each year.
For "Location", please indicate the workspace (class, laboratory, or area) where the work is performed.
If you would like to upload any documentation (pictures, etc.), please feel free to do so in the "Add Supporting Documents" section.
This Occupational Health Verification form is classified as an "incident report" type in CampusOptics, however, it is primarily used to certify your continued participation in the program after completing the intake form with UTSW.
If you have questions about this form or the Occupational Health Program, please reach out to the Occupational Safety team at safety@utdallas.edu.