Junior Year in Munich Incident Report

Use this form for incidents to be reported to the Office of Study Abroad and Global Programs.

Fields with asterisks (*) are required.

First name *

Last name *

Email *

Time, date and location of incident/accident. *

Name(s) of student(s) involved. *

Nature of incident. *

How, when and from whom did you hear about the incident? *

Was medical attention offered to the student(s)? *

Yes

If medical attention was offered, please explain what happened. If medical attention was not offered, explain why. *

Did the student accept the offer to seek medical attention? *

Yes

If the student didn't accept medical attention, please explain why. If the student accepted medical attention, where was the student take (name/address of hospital and attending physician, and what was the result? *

Was the student offered assistance or encouraged to report the incident to local or international authorities? *

Yes

Please verify if the student accepted the offer to contact authorities and indicate what office was contacted (name/address of police station of consulate. If the student wasn't offered assistance or encouraged to report, please explain why not. *

What is the current result of the situation? *

Is a follow-up required? *

Yes