Risk and Insurance Management Forms

The forms listed on the following pages can either be filled out online and then printed or printed and filled out by hand.

Forms are in Microsoft Excel and/or Adobe Acrobat Portable Document Format (.pdf) format. In order to fill out .pdf forms online, you must have Adobe Acrobat or Adobe Reader version 4.0 or higher. If you use Adobe Reader you WILL NOT be able to save your files; you can only fill and print the forms. To download a free copy of the current version of Adobe Reader, click on the Acrobat Reader icon below and following the simple online instructions.

Form	Form Number	Format	Size	Last Update
Damage Report	UM 69	PDF*	31 KB	1/22/2009
Disappearance of Assets and Money	UM 155	PDF*	45 KB	4/30/2010
Report of Injury	UM WC-1	PDF*	332 KB	6/13/2012
Student or General Public Injury and Property Damage Report	UM 200	Excel	60 KB	3/29/2012
Vehicle Accident Report	UM 5	Excel	114 KB	8/24/2010
Vehicle Insurance Coverage Enrollment Form	UM 6	Excel	24 KB	3/06/2013

* A "Reset" button was added to the bottom of these forms. This button will clear input data from fields without having to exit the application. This button is visible on screen but will not print when the form is printed.

Reviewed 2013-03-07.