Report an Incident

Report an Incident Angela Davis March 28, 2022

If this is an emergency, please call 911.

Actual or suspected incidents that adversely affect the health and welfare of an individual with a developmental disability may be reported to the MUI Department 24 hours a day, 7 days a week. 

If you have witnessed an incident involving an individual with a developmental disability, please fill out the form below or CALL US AT (513) 559-6629 IMMEDIATELY.

REPORTING FORM

Please complete as much as the form below as possible, providing as many details as you are able to.

Please note that this form does not take the place of the incident report for providers. Providers must follow all requirements outlined in MUI Rule 5123-17-02. An Incident Report is required and must be submitted to muip@hamiltondds.org

    Would you like to remain anonymous?
    If you would like to remain anonymous, you can still leave a contact number or email to allow investigators to follow-up if they have questions.


    Tip - Any information you can share about the individual with a developmental disability involved in the incident can help us identify that person.

    Tip - Tell us what you witnessed. Provide as much detail as possible, including who was involved, what happened, where and when it occurred.