Risk Management Insurance Forms

Last Updated: November 4, 2024 2:08:42 PM PST

Use these forms to request insurance, protect your department from liability, or communicate information to Risk Management.

List of Risk Management Insurance Forms
Category	Form	PDF	Word
Aviation	Pilot History Form	(PDF)
Aviation	UAS Scheduled Flights, Fleet and Reports
Boiler and pressure vessels	Air Pressure Tank and/ or Boiler Change Form	(PDF)
Business travel: out of state & foreign	UC Traveler Insurance Coverage UC Connexxus Portal: Travel Information and Resources
Claim	Property Claim Notification Form
Fine arts	Permanent Fine Arts Policy Request
Fine arts	Fine Arts Temporary Exhibit Quarterly Report
Fine arts	Art Exhibit & Loan Agreement	(PDF)	(Word)
Marine	Marine Insurance Change Request
Property	Reporting New Property
Special Events	Event Application – Commercial General Liability, long-form (7 pages)	(PDF)
Special Events	Event Holder Questionnaire, short form	(PDF)
Special Events	Special Events Safety Checklist - On-Campus Events	(PDF)
Transit	Foreign Shipment Insurance Request
Vehicles and carts	Change Form: Vehicle Insurance	(PDF)
Vehicles and carts	Vehicle/Cart Incident Report	(PDF)
Waivers	General Waiver (External Individuals/Entities)	(PDF) (PDF) en Español
Waivers	General Waiver for Staff/Faculty/Students (RM Revised 2019)	(PDF)
Waivers	Group Waiver	(PDF)
Waivers	Athletics (FacUse-Athletics 7/01)	(PDF) (PDF) en Español
Waivers	Registered/Recognized Student Campus Organization – Participant (RSO/RCO 3/11)	(PDF)
Waivers	Registered/Recognized Student Campus Organization – New Member (RSO/RCO 3/11)	(PDF) (PDF) en Español
Youth / Minors	Youth Program Registry

For more information, contact Risk Management, (858) 534-2454.

When a loss occurs, notify Risk Management, (858) 534-2454, immediately to promptly initiate the insurance investigation and claims process.