Visitor Question

What do I put on an incident report?

Submitted By: A (Delaware)

I fell on a puddle/wet floor of the produce aisle of a supermarket. The employee in that section saw and came over to ask me if I was okay. There were several other shoppers that saw but I didn’t know to get their names.

I twisted my left knee, fell on my back (primarily on my right side), and was wet from my right buttocks down the right side/back of my leg, to almost the back of my knee. I also think I landed on my left wrist.

As I continued on to finish shopping with my husband, the employee brought me an incident report and stated “I am not trying to get fired”. I took the report to complete at home.

My left wrist, knee, back and neck are now starting to twinge.

How much info should I disclose on the incident report? They ask my social security number and also what meds I am on and why. I didn’t want to complete it immediately since I know injuries don’t always appear right away. Any info would be very appreciated.

Disclaimer: Our response is not formal legal advice and does not create an attorney-client relationship. It is generic legal information based on the very limited information provided. Do not rely upon the information in our response, or anywhere else on this site, when deciding the proper course of a legal matter. Always get a personalized case review from a local attorney.


Dear A,

There is no legal requirement in the State of Delaware which requires you to insert your social security number in an incident report. Moreover, the only personal information you really need to insert in the report is what’s necessary to identify and contact you.

Just so you know, the purpose of inserting your social security number in the report is to give the store a way to check your past history to see if you have sustained previous injuries or have a criminal background. That’s really none of the store’s business.

It’s simple. You were injured on a wet floor. Your injury is a direct result of the store’s negligence. That negligence was the direct and proximate cause of your injuries. As a result, you are entitled to compensation for your medical and chiropractic bills, out-of-pocket expenses, lost wages, and an additional amount for your pain and suffering.

Before completing the incident report, visit with your doctor. Without your doctor’s medical narrative and your associated present and future medical bills (and other related costs), you really won’t have much of a claim. For the store to properly compensate you for your injury they will need supporting medical documentation.

The above is general information. Laws change frequently, and across jurisdictions. You should get a personalized case evaluation from a licensed attorney. Find a local attorney to give you a free case review here , or call (888) 647-2490.

Best of luck,

Published: June 23, 2014

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