Non-Employee Incident Investigation Form
Butler University strives to maintain a safe environment for it’s faculty, staff, students, visitors, alumni, and all other affiliates.
Non-Employee injuries (including students, visitors, alumni, or contracted employees). If you experience an injury, the Non-Employee Incident Investigation Report must be completed. Butler employees should contact Human Resources to report a faculty/staff injury.
Note: Only Faculty/Staff may fill the form out. If your injury is beyond first aid treatment, the Butler University Police Department must also be notified at 317-940-9396.