Incident Report Form

Step 1Your Information

Step 2Incident Type

Step 3Incident Details

Step 4Witnesses & Attachments

Step 5Confirm Submission

Step 6Finished

Your Information
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 is ill or injured.