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Forms

All forms are in PDF Format

*To obtain paper copies of these brochures, please contact Freehafer Operations at (765) 494-7149.

Form NumberDescriptionRelated Memos
RM01D Departmental Request for Driver Authorization-Student/Volunteer  

RM01S

Student Org. Request for Driver Authorization-Student/Volunteer  

PUGR

USA General Release Form  

PUWA

State of Washington Release Form  

PUAK

State of Alaska Form  

PUGA

State of Georgia Release Form  

PUPA

State of Pennsylvania Release Form  

PUNH

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

RM40

Independent Contractor Agreement for Health Care Providers 40

RM41

Departmental Property Claim Form 5

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See the Business Forms Web page for more forms.