Report • CampusOptics

Determine the location of the incident.
Upon arrival your first concern is for the person involved in the incident. Offer any assistance as needed. Emergency personnel will likely already be on hand.
Determine immediately if the person was injured or had property damage.
If possible, information to obtain from the injured person includes: name, address, phone number, location of the incident, and time of the incident. If the injured party is a minor child obtain information on the parent or legal guardian. The form below will walk you through this information.
Facts of loss are very important. Gather as much information about the incident as possible from the individual involved and any potential witnesses.
Assess the nature of the problem. Were there conditions or factors present that could have contributed to the incident? (Wet floors, unsecured electrical cords, uneven sidewalk, etc.)
Take any equipment involved out of service if possible. If equipment must be returned to service, make sure to take pictures and capture any identifying information (make, model, serial #, etc.).
Take pictures of the scene including any contributing conditions or factors.
In all situations, do not admit fault or liability. Obtain only the facts.

Reporter Info

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Name* Required

Additional Location Details

Exact Location

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Time of incident

Were police involved?

Personnel, property or both involved?* Required

Personnel

Property

Both

Add files to upload as supporting documentation along with your incident.