Report an Incident

Reporting a Loss to Risk Management

*NEW*  - Please utilize our Online Reporting System to report a Loss: FILE AN ONLINE REPORT

Alternatively, you may use one of our PDF forms:

Please forward your completed form to aracely.nunez@ucsf.edu and/or fax it to (415) 502-7476

If you are reporting a claim on a holiday or after normal business hours, you may also call our claims administrator directly at (800)-416-4029 to file a report.

If you have further questions regarding submitting a claim, please contact our office.

If you are a UCSF campus employee and have sustained an injury at work, please go to the UCSF Human Resource Department site to learn how to file a Workers' Compensation claim.

If you are a patient or a physician and want to report a medical malpractice related incident, you should contact Medical Center Risk Management at (415) 353-1842.

If you want to report a hazardous condition or safety issue, please contact Office of Environmental Health & Safety.