Forms
All forms are in PDF Format
*To obtain paper copies of these brochures, please contact Freehafer Operations at (765) 494-7149.
| Form Number | Description | Related Memos |
|---|---|---|
| RM01D | Departmental Request for Driver Authorization-Student/Volunteer | |
| Student Org. Request for Driver Authorization-Student/Volunteer | ||
| USA General Release Form | ||
| State of Washington Release Form | ||
| State of Alaska Form | ||
| State of Georgia Release Form | ||
| State of Pennsylvania Release Form | ||
|
State of New Hampshire Form |
||
| RM02 | Request for Certificate of Insurance | 8 |
| RM05 | Request for American Income Medical/AD&D Coverage | |
| RM15 | Application for Special Event Liability Coverage | |
| RM16 | Claim for Damage to Personal Property | |
| RM17 | Request for Student Professional Liability Coverage | 13 |
| RM18 | "In Case of an Accident" Brochure * | 2 |
| RM19 | Graduate Staff Accident Insurance Brochure * | 10 |
| RM23 | Request for International Medical/Evacuation Coverage (Student & Others) | |
| RM25 | Rental Vehicle Insurance Card | 3, 4 |
| RM26 | American Income Claim Form | |
| RM27 | Cooperative Extension Service Accident/Incident Report Form | 7 |
| RM28 | Medical Treatment Authorization Form | |
| RM29 | General Waiver, Release, And Hold Harmless Form | 11 |
| RM30 | Report of Personal Injury For Students or Visitors | |
| Independent Contractor Agreement for Health Care Providers | 40 | |
| Departmental Property Claim Form | 5 |
Viewing Information
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