Forms

Certificate of Insurance Request Form for Student Film Shoots
Please complete this form and submit it to Risk Management.  Make sure to provide all contact information for the party requesting the certificate of insurance.

Driver Information Form
All faculty, staff, and students seeking to drive vehicles owned, leased, or rented by the College must submit a Driver Information Form and receive approval from the College's insurance company.  Students must also complete a driver safety class.

Medical Information Form
The Medical Information Form can be used by faculty and staff who are coordinating student events or trips as a way to ensure that important medical information is on hand in the event of an emergency. The forms must be retained in a secure location in the relevant department/school for 3 years from the date of the event/trip for all participants who are age 18 and older and must be retained indefinitely for minors (those under age 18).

Release Waivers
Please note that #1 on both waivers needs to include the specific name, location, date, and any alternative/rain dates for the activity. In addition, you must add potential risks and injuries associated with your activity to #2.

Each person participating in an activity must sign a waiver and the event organizer must sign the waiver as a witness.  Waivers must be retained in a secure location in the relevant department/school for 3 years from the date of the event for all participants who are age 18 and older and must be retained indefinitely for minors (those under age 18).

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Please call Risk Management at 607-274-3285 if you have any questions.