Get Incident Report Form - University Of California, Riverside - Risk Ucr

Filling out an incident report is a crucial step in documenting any vehicle incidents or accidents that occur at the University of California, Riverside. This comprehensive guide will walk you through each section of the Incident Report Form, ensuring you provide all necessary information accurately and efficiently.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with Section I: Incident Information. Input the date and time of the incident, as well as the date you are reporting it. Provide the incident's address or location, number of vehicles involved, total number of passengers, and the count of any injured persons or witnesses.
3. Describe in detail the cause and results of the incident. Include information on whether the police authority was notified and, if applicable, the name and report number of the police department.
4. Move to Section II: University Vehicle & Driver Information. Enter the UC vehicle number, license plate number, and the driver's name. Indicate the role of the driver, whether they are a faculty member, staff, student, or another specified role.
5. Complete the driver's home address, driver’s license number, and contact phone numbers. Then, describe any damage to the university vehicle.
6. In Section III: Other Party Vehicle/Property Damage Information, fill out the year, make, model, and license plate number of the other vehicle involved. Include the driver's name, address, driver’s license number, and contact numbers.
7. Provide the registered owner's information if it differs from the driver, as well as their insurance company and policy number. Describe the damage to their vehicle.
8. Proceed to Section IV: Injured Party Information. Record the names, addresses, phone numbers, and roles of all injured parties.
9. Document any injuries associated with these individuals. Use additional space if necessary.
10. In Section V: Witness Information, repeat the process for any witnesses to the incident, including their names, addresses, and phone numbers.
11. Attach any photos or additional information related to the incident, if possible. Keep a completed copy of the form for your records and inform your supervisor or department about the incident.

Complete your incident report online today to ensure timely processing and adherence to university policies.