Dentistry structured event reporting form (SERF)

The School of Dentistry, UCLan, has a duty of care to its staff, students and the patients with whom they interact. As a key part of this we need to record and manage any safeguarding and professionalism issues which occur. It is therefore necessary to hold, use and process the personal information contained in the submitted SER forms to meet these obligations effectively.

We may also use your email details to contact you for additional information or clarification if that is necessary to manage issues appropriately.

Your personal information will be erased once the individual(s) involved are no longer employed by or studying at UCLan.

Fields marked with an * must be completed.

Purpose of SERF

Incident Details

Your Details

Keep In Touch – Your Communication Preferences

We may need to contact you regarding this form. How would you prefer us to do this?

Yes! I would love to receive communication by:


If you’d prefer not to hear from us, you can withdraw your consent and stop receiving our updates at any time by getting in touch.

Data Protection

Here at The University of Central Lancashire we take your data and your privacy very seriously and we’ll treat it with the utmost care and respect. By providing your details above, the University will process your personal data in compliance with data protection legislation and only process for the purpose collected unless there is a lawful basis to do so.

If you would like more detailed information relating to this or your rights, or who to contact if you have any concerns about the use of your personal data, please go to the privacy policy published on our website.

We will not share your personal details or your information with any third parties unless this is to enable them to process that data on our behalf. Such third parties will be bound by an obligation to process such information securely and in accordance with the current data protection legislation.