Incident Report Guidelines

1. At the time of incident: 
  • Do not admit liability or fault to anyone at the scene of the incident
  • Encourage participant to seek medical attention if there is any possibility of injury
  • Mitigate the possibility of any further injury/damage to the best of your ability
  • Obtain witnesses' names and addresses
  • Take photographs of the area involved, if possible
  • Document all factors contributing to the loss
2. As soon as possible - but no later than 24 hours after arriving home - please complete the Incident Report. 
3.  After reporting a claim: 
  • Do not discuss the events of the claim with any attorneys or claim personnel other than those representing Leukemia & Lymphoma Society
  • Consider ways to prevent a similar loss from occuring
  • If you have any questions, please contact Dee Dee Said at or Peter Koutroulas

Incident Report

Please complete the information below, providing as much information as possible. When finished, click on submit to send to the LLS Risk Management Department.