INFECTED CO-WORKER DISPATCH FORM
Personal Information
Name: ___________________________________________________________ UFID: ___________
Work Phone: _________________ Work Address: _________________________________________
Work Department/Unit: _________________________________________________________________
Incident Information
Date of Incident: ___________________ Location: _________________________________________
This is to verify that at the time and place indicated above I was required to kill _____________________
(last name)
_____________________, UFID # _______________ because he / she was displaying the following
(last name) (if known)
symptoms of ZBSD, or Zombie Behavior Spectrum Disorder (check all that apply):
_____ headache _____ fever
_____ chills _____ other flu-like symptoms
_____ unresponsive to most stimuli _____ moaning
_____ references to wanting to eat brains _____ recently dead but moving again
_____ large areas of decaying flesh or open wounds
_____ lack of rational thought (this can cause problems confusing zombies with managers)
_____ killed and ate another employee: _____________________________________________
(name and unit of other employee)
Based on these symptoms I killed ____________________________________________ using a:
(name of dispatched zombie)
_____ handgun _____ rifle
_____ shotgun _____ baseball bat
_____ chainsaw _____ piece of furniture
_____ explosive device - _________________________________________________________
(describe device)
_____ other - _________________________________________________________________
(describe)
Dispatching Employee Signature: _________________________________________________________
P a g e | 6
Witnessses:
_____________________ _____________________ ______________ ________________________
(last name) (first name) (UFID #) (unit)
______________________________________________________________
(witness signature)
_____________________ _____________________ ______________ ________________________
(last name) (first name) (UFID #) (unit)
______________________________________________________________
(witness signature)
_____________________ _____________________ ______________ ________________________
(last name) (first name) (UFID #) (unit)
______________________________________________________________
(witness signature)
DO NOT WRITE BELOW THIS LINE - TO BE COMPLETED BY UNIVERSITY ADMINISTRATION
Reviewed by: ________________________________________ _____________________________
(name) (title)
Dispatch is: _____ Approved
_____ Physical plant has been notified to send housekeeping for cleanup
_____ Employee has been sent additional ammunition (as appropriate)
_____ HR has been notified to stop salary payments to dispatched employee and victims (if any)
Dispatch is: _____ Not Approved
_____ Physical plant has been notified to send housekeeping for cleanup
_____ Employee supervisor has been notified to write letter of reprimand for employee file
_____ HR has been notified to stop salary payments to dispatched employee and victims (if any)
_____ This is a first offence [If this is a repeat offence, employee supervisor should be notified to initiate
http://www.astro.ufl.edu/~jybarra/zombieplan.pdf 
