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 ...

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 ...

Please use the appropriate incident report form below to report an incident or concern to our office. Do not use this form to report an immediate threat. If you require emergency assistance, call 911.