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Office of Insurance, Loss Control & Claims

Incident Reporting Form

Use this form for injuries to students, visitors and guests of all Indiana University affiliated campuses, vehicle accidents and for reports of damage to university property. For employee occupational injuries or illness, go to the IU Occupational Injury Illness page.

In the event of an incident involving serious injury, please call someone for an immediate response.




Date and time of incident:





(if known)