Risk Management Incident Report

Utilize this form to report any injury and/or property damage incident that occurs on campus or at a campus sponsored event.

  • The form must be completed by a MSU employee or supervisor
  • MSU Security will investigate and report incidents involving visitors to campus

There are two options for completing the form:

  1. Print and fill out by hand
  2. Complete electronically (First download form, then either print or save and attach to an email once completed)

Completed forms should be forwarded to Gary Orluck (gary.orluck@minotstateu.edu), Safety and Security Director,  within 24 hours of the occurrence of the incident.

Risk Management Incident Report [pdf]