Fill out this form in the event that an incident or injury has occurred, especially if there is harm to an individual or property damage.
Please include as much detail as possible. If a field does not apply, fill N/A.
If the incident/injury occurred off campus, select your campus as the "Location" and put the specific off-campus location under "Additional Location Details."
If you wish to submit a report detailing a close call or the prevention of a future incident, see the Safety Concern form: https://nova.campusoptics.com/s/Safety%20Concern%20Form