Skip to main content
Blink

System Status: 

Risk Management Insurance Forms

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

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

UCGO Portal: Travel Information and Resources

   

Claim

Property Claim Notification Form 

Fine arts

Permanent Fine Arts Policy Form (PDF) (Word)

Fine arts

Quarterly Reports: Domestic Exhibits (print using landscape setting) (PDF)  

Fine arts

Art Exhibit & Loan Agreement

(PDF) (Word)

Marine

Marine Insurance Change Form

(PDF)  

Property

Reporting New Property

(PDF) (Word)

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

(PDF) (Word)

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)

(PDFen 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)

(PDFen Español

 

Youth / Minors

Youth Activity Survey

 

For more information, contact Risk Management, (858) 534-2454.
When a loss occurs, notify EH&S Risk Management, (858) 534-3820, immediately to promptly initiate the insurance investigation and claim process. Use pager number (858) 583-3302 for emergencies only. Take a picture if a camera is available.