Employee Reports

Please scroll down and find the report you would like to use. You have the option to fill out an injury, incident, or an anonymous report. If you are reporting an injury, we must know your information & cannot be anonymous.

Injury Report

If you are injuried while working under United Employment Solutions, report the injury immediately after it happens. Do not wait to report.
Please provide the last four numbers of your SSN so we may look you up in our system accurately.
Please provide a phone number we can contact you with.
Please describe what injury occured and how it happened.

Incident Report

Please provide the last four numbers of your SSN so we may look you up in our system accurately.
Please provide a phone number we can contact you with.
Please describe what occurred and how it happened.

AnonymousReport