Third Party Incident Reporting

Departments are responsible for reporting incidents or injuries to a third party on University property or at a University of Oregon sponsored event. This form is for internal use only and is not intended to be used for a filing a claim.

Who is a Third Party?

Visitors
Volunteers
Students not working for the UO
Employees, if it is not within the course and scope of their employment, (i.e visiting campus for leisure purposes, such as attending a ballgame or concert).

Process

Departments may comeplete the Notice of Third-Party Incident form, submit the PDF fillable form to riskmanagement@uoregon.edu or complete the online web version of this form.

NOTE: This form is for internal use only and is not intended to be used for filing a claim.

Notice of Third-Party Incident - webform version

Notice of Third-Party Incident - PDF fillable form