Incident/Claim Reporting Form

When an incident arises at the chapter causing bodily injury or property damage to any person, the following information must be obtained immediately. This report is being prepared for submission to an Alpha Phi Alpha Fraternity, Inc. General Counsel so please be thorough. Do not withhold reporting an incident to obtain all required information. Because timeliness is of the essence, report it immediately and send a copy within 24 hours to the Corporate Headquarters of Alpha Phi Alpha Fraternity, Inc., 2313 St. Paul Street, Baltimore, MD 21218- 5234. If the bodily injury is of a serious nature, a telephone call should also be made.