University of Wisconsin-La Crosse | uwlax.edu

Risk Management
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  • Forms

    This page provides numerous forms, most of which require Adobe Acrobat to view and print.

    • Agent Letter Example
      (This letter extends liability coverage to agents of the University who are acting within their scope of duties.)

    • Art Loan Agreement  (PDF)
      (Contract which sets the terms and limitations of insurance coverage for art work loaned to the University.)

    • Art Loss Report  (PDF)
      (Claim documentation specifically for loss of art works.)

    • Assumption of Risk, Release, and Indemnification

      • Release and Consent (PDF)
        (A document for a single person to release the University from liability resulting from injury to the person or property of the participant.)

      • Event Indemnification and Release (PDF)
        (A document signed by persons participating in special events, programs or field trips which releases the University from any liability resulting from injury to the person or property of the participant.)

    • Camps and Clinics Forms

    • Driver's Authorization Form  (PDF)
      (Establishes agency and driving record status of persons seeking to use State-owned vehicles.)

    • General Incident Form  (PDF)
      (Used to document and describe any type of personal injury or property damage incurred by non-employees.)

    • Hold Harmless  (PDF)
      (A Document that holds the University harmless from damages or injuries )

    • Notarized Statement of Driving Record  (PDF)
      (Verification of good driving by out-of-state license holders.)

    • Property Loss Report  (PDF)
      (Claim documentation for a property loss.)

    • Special Events Insurance Application  (PDF)
      (Purchases liability protection for organizations that host activities that are not included in the University's insurance program.)

    • Van Driver Program - Training Exemption  (PDF)
      (Provides instructions for requesting exemption from Van Driver Program.  Unless exempted, every UW-La Crosse employee, student and volunteer who uses a State-owned, leased or rental van capable of carrying 12 or more passengers for University business must complete a hands-on driving assessment.)

    • Van Driver Program - Training Registration  (PDF)
      (Provides instructions for scheduling Van Driver Program.  Unless exempted, every UW-La Crosse employee, student and volunteer who uses a State-owned, leased or rental van capable of carrying 12 or more passengers for University business must complete a hands-on driving assessment.)

    • Worker's Compensation Forms
      (A link to University of Wisconsin System Administration OSLP Worker's Compensation home page.)

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