General Liability Claims/Incident Report Form
When an injury occurs, the first priority is taking care of immediate medical needs. For emergencies call 911 or LSU Police at 225-578-3231. Use the below form to report all incidents that resulted in an injury or loss or had the potential to cause an injury or loss to others on University property or at a University activity or event.
Faculty, Staff, Graduate Assistants, Student Workers
All employees who are reporting a work related incident/injury involving an LSU employee should follow the protocol outlined on the Workers Compensation page.
LSU departments should use this form to report an incident that resulted in, or may have resulted in, an injury to a person who is not an LSU employee.
Students, visitors, and campus guests may use this form to report an incident or file a claim for damages if they believe LSU contributed to the incident.
Submit this form immediately. Entries with an asterisk (*) must be completed in order to submit the form. When finished, click the "submit" button. LSU Safety, LSU Risk Management, or the University's Claim Administrator will respond to the report as needed.