City of O'Fallon, IL - Workplace Accidents

Workplace Accidents

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In the event of an accident at work, the following forms need to be filled out and submitted to Human Resources.


Employee description	This form needs to be filled out by the employee(s) involved in the accident
Employee release authorization	This form also needs to be filled out by the employee(s) involved in the accident
Supervisor	This form needs to be filled out by the supervisor of the employee(s) involved in the accident
Witness	If any employees witnessed the accident, they need to fill out this form

City of O'Fallon, IL
255 South Lincoln, O'Fallon, IL 62269
Tel: (618) 624-4500 Fax: (618) 624-4508
City Hall Hours: Monday - Friday, 8:00 am - 5:00 pm

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