Share some basic information on incidents where workers or patients are put in unnecessary danger or the employer is not taking this crisis seriously enough.

  • Your report will be kept completely private and confidential.
  • Incident reports will be used to track incidents as a means to hold our leaders and hospitals accountable to public safety.
  • Once you complete your incident report, an SEIU-UHW representative will follow up with you.
  • Please allocate about 15 minutes to complete the form to the best of your abilities.