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 ...

Employee injury reports are also necessary to manage billing for medical care and to comply ... the circumstances surrounding the incident and summarize their findings on the incident and injury ...

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 ...

This report form should not be used in an emergency. For emergencies, call 911 or campus security at (570) 321-4911. Background Information If you wish to remain anonymous you do not need to include ...