Forms

UWGB is committed to the safety and well-being of our students, staff and faculty.  There are different reporting structures within UWGB to receive and review incidents at the UWGB campus.  These can be found by selecting on the links below.
 
General Forms Purpose
General Incident Report Report concerns to the Dean of Students Office regarding behavior of students, personal concerns, or issues through the Campus Incident Report.
Title IX Sexual Assault Reporting An individual who believes they are a victim, or who have received a report of or witnessed an incident of relationship violence or sexual harassment may report the incident to the Title IX Coordinator.
Bias Incident or Hate Crime Report Report incidents motivated by bias or hatred, which occur, on and off the UWGB campuses using Bias Incident Report 
Clery Campus Security Authority Report Used by University Police to document an urgent or emergency situation in which someone does not feel safe.  Individuals can report incidents by calling 911 or University Police at 920-465-2300.
 
Workers Compensation Forms Purpose
 Employee's Work Injury and Illness Report


 		 Report filled out by employee immediately following an injury or accident that occurs in the workplace while conducting their assigned job duties.
Supervisors Accident Analysis and Prevention Report

 		 Report filled out by employee's supervisor following an injury or accident.  For further instructions, Supervisor should review the Supervisor Responsibilities in Workers Compensation Process.
Employers First Report of Injury or Disease Report filled out by BOTH the employee and their supervisor following an injury or accident that occurs in the workplace while conducting their assigned job duties.