This online form can be used in place of the multi-part Employee/Student/Visitor Injury and Incident Report form. This online form will submit electronically to Occupational Health and Safety, Student Employee Health Services, and Human Resources. After submission, a printable Injury and Incident form will be displayed that you may print and take with you to Student Employee Health Services (or to the Emergency Department for after-hours treatement). You should also print and give to your supervisor a copy of the final form that is generated when you hit SUBMIT. NOTE: Do not print and mail this form. Please use the SUBMIT button below to generate a completed incident report form.