Submit an Incident Report

1Contact Information > 2Incident Details > 3Verification and Signature > 4Review Your Incident Report
Contact Information
Name Name * First Last
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number *
Email *
Incident Overview
What type of damage did the incident result in? *

What type of damage did the incident result in? Injury Property Damage Vehicle Damage
Was a vehicle involved in the incident? *
Have you notified your home and/or auto insurance company of the incident? *
Was there any construction in the area of the incident? *
Did you notify York Campus Security of the incident? *
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Enter Your Email Address *

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