INSURANCE & RISK MANAGEMENT FORMS

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PURPOSE/USE:

FORMAT:

	EMPLOYEE INJURY ACCIDENT & INVESTIGATION FORMS
•	EMPLOYEE INJURY ACCIDENT REPORT	To be completed when a university employee is injured.
•	SUPERVISOR ACCIDENT INVESTIGATION REPORT	A reference tool to be used when the supervisor is completing the Supervisor Accident Investigation Report.
•	SUPERVISOR ACCIDENT INVESTIGATION REPORT FOR EMPLOYEE INJURY	To be completed by the supervisor when a university employee is injured.

	STATE VEHICLE ACCIDENT & INVESTIGATION FORMS
•	VEHICLE ACCIDENT REPORT FORM (STD 270)	To be completed when involved in a motor vehicle accident while on state business.
•	STATE DRIVER ACCIDENT REVIEW FORM (STD 274)	To be completed by the supervisor when a state employee is involved in a motor vehicle accident while on state business.
•	AUTHORIZATION TO USE PRIVATELY OWNED VEHICLE ON STATE BUSINESS-EMPLOYEE (STD 261)	To be completed annually by all state employees who operate a private vehicle on state business.
•	ACCIDENT REPORT FORM (Student, Visitor, Non-Motor Vehicle)	Used to report student or campus visitor Non-Motor Vehicle accident or property damage.

	ACADEMIC FIELD TRIP FORMS
•	ACADEMIC FIELD TRIP INFORMED CONSENT FORM	To be completed by all participants before departing on a university sponsored field trip.
•	ACADEMIC FIELD TRIP PARTICIPANT LIST	Used to record academic field trip participant's emergency contact information.
•	AIR TRAVEL - Attachment G	To be completed when a student will be traveling by air on a university sponsored trip.
•	AUTHORIZATION TO OPERATE PRIVATELY OWNED VEHICLE-STUDENT	To be completed when a student will operate a private vehicle on a university sponsored trip/activity.

	MISCELLANEOUS FORMS
•	AUTHORIZATION TO USE PRIVATELY OWNED VEHICLE ON STATE BUSINESS-EMPLOYEE (STD 261)	To be completed annually by all state employees who operate a private vehicle on state business.
•	GUEST LECTURER INFORMED CONSENT/HOLD HARMLESS FORM	To be completed by guest lecturer prior to lecture.
•	INDEPENDENT CONTRACTOR INFORMED CONSENT/HOLD HARMLESS FORM	To be completed by the independent contractor prior to commencement of service. (Insurance is required).
•	VOLUNTEER PARTICIPATION INFORMED CONSENT/HOLD HARMLESS AGREEMENT	To be completed when participation in a university sponsored activity is voluntary.
•	STUDENT INTERNSHIPS	To be referenced for student internships in coordination with Purchasing & Contract Administration.
•	VOLUNTEER INDENTIFICATION FORM	To be completed when registering a university volunteer. OHRS 20-64 (Office of Human Resources Form).

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