The University of Texas at Dallas

The University of Texas at Dallas

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The University of Texas at Dallas

Employee First Report of Injury

The University of Texas at Dallas will comply with the Texas Workers’ Compensation Act as it applies to The University of Texas System while providing quality customer service to all UT Dallas employees who have been injured on the job and their departmental representatives.


If you are an employee, are injured, and need to file a claim, please complete the following form. To ensure full coverage, all treatments should be received at an approved medical facility.

Reporter Info

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Location

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    Employee First Report of Injury

    Add Supporting Documents

    Add files to upload as supporting documentation along with your incident.