Employee Reports

Please scroll down to find the report you would like to use. 

You have the option to fill out an injury, incident, or an anonymous report. Reports can be about yourself, a coworker, manager, employee of a different company that we are working with. Please send any information that we need to know to further assist you and other associates. 

Additional paperwork may be needed to further process these reports, a representative will contact you shortly after submitting your report. 

Table of Contents

Injury Report

If you are injuried while working under United Employment Solutions, report the injury immediately after it happens. Do not wait to report.
Name
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.
Date & Time The Injury Occurred
Please describe what injury occured and how it happened.

Incident Report

Name
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.
Date & Time The Incident Occurred
Please describe what occurred and how it happened.

Anonymous Report