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Insurance & Risk Management Forms

INSURANCE & RISK MANAGEMENT
TEL NO: (818) 677-2079
FAX NO: (818) 677-5853
MAIL DROP: 8284
Student Air Travel
Voluntary Participation Notice
LINE

(Reference EO 1041 )


Dear , You are currently participating in a California State University-affiliated program, which requires air travel and/or ground transportation.
Air and ground travel involves risks and could result in damage to property, injury to persons, and death. Please be informed that the California State University assumes no liability for any damage, injury or death which may occur during air travel required by the California State University affiliated programs. Your participation in the program is voluntary, and you participate at your own risk.

Prior to undertaking California State University-affiliated air or ground travel, you will be required to sign a "Release Hold Harmless and Informed Consent "Statement. Please review the statement carefully before signing it.

 

 

 

 

 

 

 
Signature of President/Chancellor or Designee :
   
___________________________________  
 
Date: