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Incident Report

Burrell College of Osteopathic Medicine Incident Report

INSTRUCTIONS: This form is to be completed within 24 hours of the incident and submitted electronically to the Office of Institutional Effectiveness (submission button at bottom of form).

In the event of an employee injury/illness, an additional Notice of Accident form is required to be filled out. This form will appear when you Please contact the Office of Human Resources if you have additional questions.

If reporting a Title IX incident, please use this form:

If reporting a formal complaint, please use this form: