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STUDENT NOTIFICATION of INJURY (NOI)

The NOI form must be completed when a student is injured in a classroom or lab setting.

Click on Student Notification of Injury Form to review or print.

Part "A" is completed and signed by the injured student.
Part "B" is completed and signed by an auhtorized Instructor or Administrator.
NOTE: You will need to contact Security at (904) 766-6608 to initiate a Student Injury report.

FAX the completed Student NOI form form to Risk Management.
Risk Management FAX number is (904) 632-3145

Click HERE for RISK MANAGEMENT WEBSITE.

Reminder: It is the student and instructor's responsibility to notify Security to initiate an Incident Report of the injury.

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