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 ...

Use this form to report a bias-related incident involving students only. If an incident involves an employee or third party, please use the Report Employee-Related Incident or Concern form instead. If ...

State or Research Foundation (RF) employees complete, sign and submit this report about on-the-job accidents or injuries. After submission Human Resources will send you a New York state packet of ...

Submit an OJI Incident Report Form for UAB Campus Employees Report an ... Release of Information This form should be filled out by the employee. Any incomplete or altered forms will result in a delay ...