Incidents involving criminal misconduct or crimes should be reported IMMEDIATELY to University Police at (859) 572-7777. Completion of this report is not required for these incidents.

The incident Report Form should be used by all faculty, staff, students, contractors, and visitors to report ANY incident that either results in bodily injury, illness, or an accident that could have resulted in bodily injury (a near miss) that occured at Northern Kentucky University (NKU). This form must also be filled out to report property damage resulting from such an incident.

  • Please complete this report to the extent you can.
  • Any questions,  the answer to which is either not known to you or unavailable, should be left blank.
  • Every effort must be made to complete this document as soon as possible.
  • In the unfortunate case of a fatality, inpatient hospitalization, or serious injury, IMMEDIATELY contact University Police at (859) 572-7777.
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Completing this form does not relieve individuals from an obligation to contact Human Resources, Police, or relevant authorities.

In addition to completing this report please contact the following:

Person injured is...

Faculty or Staff

Contact Human Resources at (859) 572-6063 or the 24-hour access line at 1-800-440-6285

Person injured is a...

Student

Contact Student Office of Student Conduct, Rights, and Advocacy (859) 572-5147

Person injured is a...

Visitor, Contractor, or Volunteer

Contact Procurement (859) 572-5265

 

The Accident/Incident Report Form is for record keeping and tracking purposes only.