125 088 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name, title, and date of report in the 'Submitted By' section. This information is crucial for identifying who is reporting the incident.
  3. Fill in your email address to ensure that the Office of Risk Management can contact you if needed.
  4. In the main body of the form, provide details about the incident. Start with your name, age, and date of the incident. Specify your status at the time (Student, Visitor, Contractor, etc.).
  5. Indicate who was supervising or instructing you at the time of the accident and provide specific location details including building and room number or outdoor location.
  6. Describe what happened during the incident, including activities engaged in and any injuries sustained. Be as detailed as possible for clarity.
  7. Sign where indicated to confirm that you either accepted or refused assistance after the incident.
  8. If there were any witnesses, include their printed names, signatures, and phone numbers in the designated area.

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Withdrawal from Courses Before two-thirds of the semester, a student who withdraws from all must obtain a withdrawal form from the Registrars office, and return the completed form to the Registrars office. Students can also withdraw on-line prior to two-thirds of the semester through their myCommNet account.
Form 125-026. Northern Virginia. Community College. NOVA I. Rev. Change of Name or Social Security Number. This form should be submitted to a campus Student Services Center for a change of name or Social Security number:
The Change of Name or Social Security Number - 125-026 form should be submitted to one of the campus Student Services Center via email: enrolllmentservice@nvcc.edu). The form is in the Forms Library.

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If you would like to change your major you must complete a Declaration of Major/Change of Major form available on the NVCC website under Campus Resources, in the Counseling/Advising office (LH-A108), or Admissions office (LH-B109) obtain the necessary approvals, then deliver it to the Registrars office (LH-B109).

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