Information submitted on this form may, under certain circumstances, be used as evidence in dealing with insurance claims. By submitting this form you are providing your consent for your details to be used if necessary for the reason outline above. All personal information will be treated under the terms of the Data Protection Act 1998.
Any 'Email Address' entered in this form will ensure an electronic copy of this accident/incident report is sent to the specified address. Please ensure you only enter valid email addresses in the normal Firstname.Surname@ed.ac.uk format.
Any field below having a red asterisk * to the right of it is mandatory and must be completed.
After submitting this form you will be presented with a printable copy ('carbon copy') for your records.
Full guidance on how to complete the online form is available as a PDF. Training is also available, please see our Training section for more details.
This article was published on Jul 4, 2011