Official Site of The State of New JerseyIncident Reporting
Division Circular 14: Reporting Unusual Incidents (effective November 1, 2007)
Division Circular 14 Memo (October 12, 2007)
Investigation Report Request Form
UIR Updates
January 30, 2017
- Letter to Providers from Office of Risk Management regarding changes to UIR process
- Revised UIR UpDoc Instructions including contact and Reporting Authority assignment information
UIR Forms and Instructions
UIR: Initial Report
- UIR Initial Report Form (DC 14: Appendix A)
- UIR Initial Report Form Instructions
UIR: Follow-Up Report
- UIR Follow-up Report Form (DC 14: Appendix B)
- UIR Follow-up Report Form Instructions
UIR: Incident Category Lists