Incidents involving non-employees (i.e., students, visitors) in an injury on university property are required to complete this form and e-mail it to email@example.com.
Immediately report incidents resulting in severe injury, illness, exposure, property damage, or death to University Police, (724) 357-2141.
Students may seek non-emergency treatment for injuries and illnesses at the Center for Health and Well-Being, Suites on Maple 901 Maple Street, Indiana, PA 15705
Please contact Megan Kiebler in the Office of Public Safety for questions and other concerns about a reported injury or claim being made at 724-357-3201 or firstname.lastname@example.org.
Please contact Frank Carrozza in Environmental Health and Safety, (724) 357-5705 or email@example.com, to report the existence of any hazards (i.e., uneven sidewalks, snow/ice sidewalks or
steps, etc.) that resulted in the injury so that action can be taken.
Download the Student or Visitor Injury Report (interactive PDF).