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*
<RECIPIENT
NAME>
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
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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
