Get University Of Texas At Dallas Incident Report Form 2010

Filling out the University Of Texas At Dallas Incident Report Form online is a straightforward process designed to capture essential details about incidents involving students or visitors. This guide will walk you through each step to ensure accurate and complete submission.

Follow the steps to efficiently complete your incident report.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Start by entering your full name as it appears on your government-issued ID. Make sure to type or print legibly.
3. Provide your driver’s license or other government-issued ID number, along with your date of birth.
4. Select your gender by marking the appropriate box. Indicate your local address along with your home and permanent phone numbers.
5. Indicate your status by checking the appropriate box: either as a UTD student or a UTD visitor. If you are a student, please include your major of study.
6. In the incident section, enter the date and time of the incident. Indicate whether the police were notified and, if applicable, provide the case number.
7. Detail the location of the incident and provide a thorough description of what happened, including all relevant factors and any substances or objects involved. Be specific and, if necessary, attach a separate sheet.
8. Answer whether there were any witnesses by marking yes or no. If yes, include their names, addresses, and phone numbers on a separate sheet.
9. State whether any individuals were injured during the incident, and describe the nature and location of their injuries.
10. Indicate whether medical treatment was provided, specifying the location of the treatment. Check the corresponding options regarding whether the individual will miss class or work.
11. At the end of the form, provide your signature and date it. If you are not the injured party, print your name and job title.
12. Save any changes made to the form. You can download, print, or share the form as needed.

Complete your incident report online today to ensure proper documentation and support.