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 ...

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

The time spent completing these forms will ultimately speed up the arrival of appropriate help. The first form is an Accident Report. It is one side of A4. It is designed to be used to summon help. If ...

Should an accident at work report be made when the circumstances around ... the file more closely and with a more critical ...

According to an inspection report from the Industrial Commission of Arizona — the state’s division of the Occupational Safety ...

Information for schools and college staff about when to call the police to an incident on their premises and how to report concerns about vulnerable ... using our suspected vulnerable person form. For ...

and explanation of benefits forms for suspicious activity, and to report any suspicious activity immediately.” Notices will ...

Immediately notify the police about the accident and file a First Information Report or FIR ... work with the insurance ...

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.

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 ...

If you believe you're the victim of a campus climate-related incident, see Campus Climate Concerns to find out how to report it and take advantage of available resources. In the aftermath of ...