When an incident arises at the chapter causing any bodily injury or property damage to any person, the following information must be obtained immediately. This report is being completed for submission to our attorney, so please be thorough. If the bodily injury is of a serious nature, please call Executive Director Phil Josephson at 816-891-9200 ext. 18, or fax to 816-891-9401.

Required fields are marked by *.

Date of Incident (MM-DD-YYYY)* Chapter* Alpha-University of Illinois Beta-Ohio State University Gamma-Pennsylvania State University Delta-Purdue University Epsilon-North Dakota State University Zeta-Cornell University Eta-Iowa State University Theta-University of Missouri Iota-University of Wisconsin-Madison Kappa-University of Nebraska Lambda-University of Minnesota Nu-North Carolina State University Xi-Auburn University Omicron-University of Kentucky Pi-Oklahoma State University Rho-Colorado State University Sigma-Washington State University Tau-Michigan State University Phi-University of California-Davis Chi-Cal Poly State University-SLO Psi-University of Maine Omega-University of New Hampshire Alpha Alpha-West Virginia University Alpha Beta-Oregon State University Alpha Gamma-University of Florida Alpha Delta-Montana State University Alpha Epsilon-Louisiana State University Alpha Zeta-Kansas State University Alpha Eta-University of Georgia Alpha Theta-University of Maryland Alpha Iota-University of Arkansas Alpha Kappa-University of Tennessee-Knoxville Alpha Lambda-New Mexico State University Alpha Nu-University of Connecticut Alpha Pi-University of Arizona Alpha Rho-University of Vermont Alpha Sigma-California State University-Fresno Alpha Tau-Western Illinois University Alpha Upsilon-University of Tennessee-Martin Alpha Phi-South Dakota State University Alpha Chi-Western Kentucky University Alpha Psi-University of Wisconsin-River Falls Alpha Omega-Murray State University Beta Alpha-Southern Illinois University Beta Gamma-University of Wisconsin-Platteville Beta Delta-Illinois State University Beta Epsilon-Arkansas State University Beta Zeta-Clemson University Beta Eta-Virginia Polytechnic Institute & SU Beta Theta-Middle Tennessee State University Beta Iota-Truman State University Beta Kappa-California State University-Chico Beta Lambda-Texas A & M University-Commerce Beta Mu-Austin Peay State University Beta Nu-Texas A & M University Beta Xi-Texas Tech University Beta Omicron-University of Wyoming Beta Pi Colony-Louisiana Tech University Beta Rho-Northwest Missouri State University Beta Sigma-Tarleton State University Beta Tau-Mississippi State University Beta Upsilon-University of Delaware Beta Phi-University of Idaho Beta Chi-Stephen F. Austin State University Beta Psi-Delaware Valley College Beta Omega-Missouri State University Gamma Alpha-Florida Southern College Gamma Beta-Fort Hays State University Gamma Gamma-Southern Arkansas University Gamma Delta-Abraham Baldwin Agricultural College Sam Houston State Colony None Noble Ruler* Noble Ruler's Phone Number* Noble Ruler's Cell Phone Number* Noble Ruler's Email Address* Adviser* Adviser's Phone Number* Adviser's Cell Phone Number* Adviser's Email Address* Alumni Corporation President* Alumni Corporation President's Phone Number* Alumni Corporation President's Cell Phone Number* Alumni Corporation President's Email Address* Name of Injured Party* Phone Number of Injured Party* Witnesses and Phone Numbers Description of What Happened (What, When, Where, How, How Much, etc.)