Accident / Incident / Unsafe Condition Report
In the event of immediate danger, call University Police at (479) 575-2222 or visit
safety.uark.edu for emergency information and procedures.
PLEASE NOTE: Any event involving workplace injuries must be reported directly to Risk Management using the appropriate University form to be considered for workers' compensation claims. This accident form is not intended to take the place of workers' compensation claim forms.
I certify that all of the above is true and correct to the best of my knowledge.
If you have any questions regarding your submission, please call (479) 575-6601 or direct e-mail to firstname.lastname@example.org.