UNIVERSITY OF WISCONSIN
River Falls
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Working in Isolation
Risk Management
Report a Safety Concern
*Reported By
*
(FirstName,MI,LastName) You may choose to have your name kept anonymous upon request. You must state so in the 'Statement of Concern' dialog. All fields denoted with an "*" indicates it is a required field.
*Your Email
*
Entering your email will allow the Department of Risk Management to follow up with any questions in regards to your concern.
Date Noticed
*
(mm/dd/yyyy)
*General Location
Inside
Outside
Parking Lot
*Building
*
Room Number
Parking Lot
Department Name (If applicable)
*Statement of Concern
*
Suggestion for Solution of Concern
