If you need any assistance completing this form, please contact Risk Management at risk-management@uiowa.edu or (319) 335-0010.
If you would like a printable PDF to complete by hand, please contact Risk Management at risk-management@uiowa.edu.
Use this form to report incidents affecting members of the public, students, or others while on campus. DO NOT use this form for vehicle accidents, workers compensation, or incidents occurring within the University of Iowa Health Care Medical Center Main Campus.