Student Incident Report Form
Do not use this form to report a work related injury or illness. Report all work related injuries or illnesses to the Safety Office using the Worker's Compensation Report form or by calling the Safety Office (496-3053).
All non-work related accidents that occur on campus, university property, or at a sanctioned university activity, are to be reported as soon as possible to the Safety Office using this Injury/Incident Report Form. Incident reports are to be filed for accidents involving students or visitors and for damage to university property. (Intentional acts of violence or vandalism should be reported directly to the University Police by calling 496-3000, immediately.)