Directions: All HSC Faculty, Staff, & Students: In the event of an adverse effect that significantly threatens or compromises the availability, confidentiality and integrity of information resources at the WVU Health Sciences Center, WVU Hospitals, University Health Associates, and/or WVU, please complete/submit the following information. Once you have completed and submitted the form, please contact our ITS Help Desk at 293-3631 (24x7) to confirm receipt.
* Required
If Other checked, please specify:
Date of incident discovery:
Again, please contact our ITS Help Desk at 293-3631 as soon as you’ve submitted this form to follow up on the event.
