Report an Incident

A Major Unusual Incident (MUI) (OAC 5123:2-17-02) is defined as an alleged, suspected or actual occurrence of an incident that adversely affects the health and safety of an individual.  There are 19 types of incidents defined in the rule that are considered Major Unusual Incidents.  All incidents require that:

  • Immediate action is taken to protect individuals from further harm
  • An investigation is conducted to determine the cause of the incident and contributing factors
  • A prevention plan is put in place to reduce the likelihood of future occurrences.

To report an incident of abuse or neglect of an adult or a child

  1. Complete the following Incident Report Form 
  2. E-mail the form as an attachment to OR fax it to 937-457-2817
  3. If the individual is a minor, you must ALSO:
    • Report the alleged abuse or neglect to the Montgomery County Children's Services Board at 937-224-KIDS (5347);
    • Contact law enforcement

To report an MUI outside of regular business hours

Please call 937-457-2765 and you will be connected with United Way's HelpLink Service.  Note:  You will still be required to complete and return the Incident Report Form as directed above.