Report an Incident


Please utilize our Online Reporting System to report a Loss:

FILE AN ONLINE REPORT


 

Alternatively, you may use one of our PDF forms:

Auto Liability

General Liability

Property


Please forward your completed form to Aracely Nunez and/or fax it to 415.502.7476.

If you are a UCSF 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 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 patient or a physician and want to report a medical malpractice related incident, you may 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.