Forms

 

DRIVER SAFETY PROGRAM

Authorization to Drive on University Business Application & DMV Pull Notice Form (DocuSign) 

STD 261 Authorization to Use Privately Owned Vehicles on State Business (DocuSign)

STD269 - State Accident Information Form

STD270 - State Vehicle Accident Report

STD274 - State Driver Accident Review Form (to be completed by driver's supervisor)

 

FOREIGN TRAVEL

22/23 Foreign Travel Insurance Program (FTIP) Coverage Summary

Acknowledgement of Travel Risks During the COVID-19 Pandemic (Faculty, staff, and non-study abroad program participants)

Foreign Travel Insurance Program (FTIP) Packet

Foreign Travel Participant List

Foreign Travel Schedule

International Transportation Charter Indemnification & Insurance Agreement

Request for Approval of Travel to High-Risk Country

Request for Foreign Travel Insurance Program (FTIP) Coverage

 

FOREIGN TRAVEL - FACULTY-LED STUDY ABROAD PROGRAM

FTIP Checklist - Faculty-Led Study Abroad Program

 

FOREIGN TRAVEL - STUDY ABROAD PROGRAM

Foreign Travel Insurance Packet - Study Abroad (PowerForm)

Foreign Travel Insurance Request Form - complete the packet/PowerForm

Release of Liability - Air/Ground Travel - complete the packet/PowerForm

Release of Liability for Personal Travel and Acceptance of All Risks - complete the packet/PowerForm

Acknowledgement of Travel Risks During COVID-19 Pandemic - complete the packet/PowerForm

Request for Authorization to Travel to a High Hazard Country - complete the packet/PowerForm

Minors Medical Consent Form

 

WAIVERS/RELEASES OF LIABILITY

Release of Liability Instructions

Release of Liability 

Release of Liability - Air/Ground Travel

 

WORKERS' COMPENSATION

Employee's Report of Work-Related Incident, Injury or Illness

DWC-1 Workers' Compensation Claim Form

DWC-1 Workers' Compensation Claim Form (Chinese)

DWC-1 Workers' Compensation Claim Form (Korean)

DWC-1 Workers' Compensation Claim Form (Tagalog)

DWC-1 Workers' Compensation Claim Form (Vietnamese)

Predesignation of Personal Physician

 

YOUTH PROTECTION PROGRAM

YPP - Youth Program Registration Form 2021

YPP - 3rd Party Youth Program Registration Form 2021

YPP - Abuse Reporting Guidelines (Also Available as a Template in DocuSign)

YPP - Code of Conduct - Standards for Interacting with Youth

YPP - Authorization/Consent to Provide Medical Services to a Minor

External Organization Campus Day Visit Agreement