This form is for Health and Wellness Services staff only. Use this form to report an incident or near miss event including injuries, unexpected outcomes, breach in procedure, privacy incident or ...

Members of the UB community can file a small claims incident report arising from alleged negligence on the ... Claims must be filed within ninety (90) days of the alleged incident. Submit one claim ...

Please use the appropriate incident report form below to report an incident or concern to our office. Do not use this form to report an immediate threat. If you require emergency assistance, call 911.