This form is for Health and Wellness Services staff only. Use this form to report an incident or near miss event including injuries, unexpected outcomes, breach in procedure, privacy incident or ...

For the report type, select 'I'm reporting for myself' if you are the ill or injured party; otherwise, select 'I'm reporting on behalf of someone else' if you're reporting for another individual who ...

Please use the appropriate incident report form below to report an incident or concern to our office. Do not use this form to report an immediate threat. If you require emergency assistance, call 911.

The safety of our students and employees is a priority for the University and, therefore, it is important to report injuries and property damage incidents so that appropriate corrective actions can be ...

Report an accident or incident / near miss using the Online MySafety Reporting Form takes you through the steps of how to report an accident, incident or a near miss. The on-line form takes 3 to 5 ...

Members of the UB community can file a small claims incident report arising from alleged negligence on the part of the University ... Claims must be filed within ninety (90) days of the alleged ...

Please note that anonymously submitted reports may limit our effectiveness in dealing with concerning behavior. This report form should not be used in an emergency. For emergencies, call 911 or campus ...

This form is available for the reporting of bias related incidents ... Biased related incidents on the SUNY Cortland campus are of great concern for all members of the campus community. A bias related ...

To report abuse of Purdue's IT Resources, please fill out and submit the online incident report form. Once submitted, all users are expected to monitor for communications from Purdue Systems Security ...

Please provide your full name, email address, and contact information so that an Officer can contact you to verify certain information, ask you additional question and provide you with the incident ...

Once again, employers are required to submit OSHA Forms 300, 301 and 300A online via OSHA’s Injury Tracking Application (ITA).