Agent Letter Template

Please copy and paste the text below into a word processor, and insert the appropriate information.
You can also download the file in .doc format. *HERE
*

<DATE>

<RECIPIENT NAME>
<ADDRESS LINE1>
<ADDRESS LINE2>
<CITY, STATE, ZIP>

Dear<RECIPIENT NAME>:

This letter is written to provide written confirmation of your terms as a volunteer of the University of Wisconsin-La Crosse for the period <MM/DD/YY> through <MM/DD/YY>.  During this period either you or the University may cancel this agreement.

During your term of service as a volunteer for the <NAME OF DEPT>, you will be performing the following duties: <LIST DUTIES> and other related duties as assigned, under the supervision of <NAME OF SUPV>, <TITLE OF SUPV>. 

Your volunteer status provides you with certain protections from liability if a claim for damages due to negligence results from the performance of your official duties, as described above. As a volunteer, you are not considered to be an employee of the University and you are not eligible for any compensation or other benefits, including any Worker’s Compensation benefits.

To indicate your acceptance of the terms of your service, please sign and return one of the enclosed copies of this letter to me using the enclosed and addressed return envelope; you should retain the remaining original as your record of the terms of your service.

Sincerely,

 

cc:     <VOLUNTEER SUPV>
         <DEAN OR DIVISION HEAD>
        
Risk Management, 125 Graff Main Hall

-------------------------------------------------------------------------------------------------------------------------------

STATEMENT OF ACCEPTANCE:  I HAVE REVIEWED, UNDERSTAND, AND ACCEPT THE TERMS AND CONDITIONS RELATED TO MY SERVICE AS AN AGENT, AS DESCRIBED WITHIN THIS LETTER.

 

                        ________________________________                                ____________

                        Signature                                                                      Date

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