{"id":50,"date":"2014-07-14T14:43:15","date_gmt":"2014-07-14T19:43:15","guid":{"rendered":"https:\/\/www.wisconsin.edu\/risk-management\/?page_id=50"},"modified":"2025-06-13T07:58:27","modified_gmt":"2025-06-13T12:58:27","slug":"forms","status":"publish","type":"page","link":"https:\/\/www.wisconsin.edu\/risk-management\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"<p><strong>Affiliation Agreements:<\/strong><\/p>\n<div class=\"doc-list\">\r\n<ul class=\"list-unstyled\"><li><span class=\"doc-icon\"><a class=\"doc-type docx\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/affiliation_agreements\/2014-05-13%20(ML)%20Proposed%20Form%20RM-100%20Uniform%20Affiliation%20Agreement.docx\" target=\"_blank\">Uniform Affiliation Agreement<span class=\"sr-only\"> docx<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/affiliation_agreements\/2014-05-13%20(ML)%20Proposed%20Form%20RM-105%20Caregiver%20Affiliation%20Agreement%20Addendum.doc\" target=\"_blank\">Caregiver Affiliation Agreement Addendum*<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<\/div>\n<p style=\"padding-left: 30px;\">*REQUIRED for student placement in a clinical\/healthcare related setting<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Camps and Clinics Forms<\/strong><\/p>\n<div class=\"doc-list\">\r\n<ul class=\"list-unstyled\"><li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/camps_and_clinics\/Youth-Event-Health-Form.doc\" target=\"_blank\">2025 Youth Event Health Form<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type pdf\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/camps_and_clinics\/2026-UWS-Camps-&amp;-Clinics-Accident-Brochure.pdf\" target=\"_blank\">2026 UWS Camps & Clinics Accident Brochure<span class=\"sr-only\"> pdf<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type pdf\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/camps_and_clinics\/2026-UWS-Camps-&amp;-Clinics-Accident-Claims-Instructions_Internal.pdf\" target=\"_blank\">2026 UWS Camps & Clinics Accident Claims Instructions Internal<span class=\"sr-only\"> pdf<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type pdf\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/camps_and_clinics\/2026-UWS-Camps-&amp;-Clinics-Accident-Insurance-Information.pdf\" target=\"_blank\">2026 UWS Camps & Clinics Accident Insurance Information<span class=\"sr-only\"> pdf<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type pdf\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/camps_and_clinics\/2026-UWS-Camps-&amp;-Clinics-Claims-Instructions_Participants.pdf\" target=\"_blank\">2026 UWS Camps & Clinics Claims Instructions Participants<span class=\"sr-only\"> pdf<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type pdf\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/camps_and_clinics\/2026-UWS-Camps-&amp;-Clinics-Injury-Claim-Form_fillable.pdf\" target=\"_blank\">2026 UWS Camps & Clinics Injury Claim Form Fillable<span class=\"sr-only\"> pdf<\/span><\/a><\/span><\/li>\r\n<\/div>\n<p><a href=\"https:\/\/www.wisconsin.edu\/risk-management\/manual\/camps-and-clinics\/\">Camps and Clinics Blanket Accident Insurance<\/a><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Property Forms<\/strong><\/p>\n<div class=\"doc-list\">\r\n<ul class=\"list-unstyled\"><li><span class=\"doc-icon\"><a class=\"doc-type xls\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/property_forms\/artExhibit.xls\" target=\"_blank\">Art Exhibit Inventory<span class=\"sr-only\"> xls<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/property_forms\/artmemo.doc\" target=\"_blank\">Art Exhibit Protection Memorandum<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/property_forms\/artloss.doc\" target=\"_blank\">Art Loss Report Form<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type docx\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/property_forms\/auto%20glass%20phone%20list.docx\" target=\"_blank\">Auto Glass Phone List<span class=\"sr-only\"> docx<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type xls\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/property_forms\/Borrowed.xls\" target=\"_blank\">Borrowed Equipment<span class=\"sr-only\"> xls<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type xls\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/property_forms\/FY20-Inventory-Valuation-Summary-Worksheet.xls\" target=\"_blank\">FY20 Inventory Valuation Summary Worksheet<span class=\"sr-only\"> xls<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/property_forms\/General%20Incident%20Report%20Form%20(DOA-6441).doc\" target=\"_blank\">General Incident Report Form (DOA-6441)<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/property_forms\/Lightning%20Losses%20Affidavit.doc\" target=\"_blank\">Lightning Losses Affidavit<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type xls\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/property_forms\/Loss%20Summary%20spreadsheet.xls\" target=\"_blank\">Loss Summary Spreadsheet<span class=\"sr-only\"> xls<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/property_forms\/Proof%20of%20Loss%20Form%20(Revised%20Aug%202013).doc\" target=\"_blank\">Proof Of Loss Form (Revised Aug 2013)<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type xls\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/property_forms\/Transportation.xls\" target=\"_blank\">Transportation Log<span class=\"sr-only\"> xls<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/property_forms\/DOA-6496-Vehicle-Incident-Report.doc\" target=\"_blank\">Vehicle Incident Report (DOA-6496)<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<\/div>\n<p>&nbsp;<\/p>\n<p><strong>Liability Forms<\/strong><\/p>\n<div class=\"doc-list\">\r\n<ul class=\"list-unstyled\"><li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/liability_forms\/SHORTENED%20UPDATED%20WAIVER%20(Spanish).doc\" target=\"_blank\">Agreement For Assumption Of Risk, Indemnification, Release, and Consent for Emergency Treatment (shortened Spanish)<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type docx\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/liability_forms\/SHORTENED%20UPDATED%20WAIVER.docx\" target=\"_blank\">Agreement For Assumption Of Risk, Indemnification, Release, and Consent for Emergency Treatment (shortened waiver)<span class=\"sr-only\"> docx<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/liability_forms\/AGREEMENT%20FOR%20ASSUMPTION%20OF%20RISK%20(Spanish).doc\" target=\"_blank\">Agreement For Assumption Of Risk, Indemnification, Release, and Consent for Emergency Treatment (Spanish)<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/liability_forms\/Agreement%20for%20Assumption%20of%20Risk.doc\" target=\"_blank\">Agreement For Assumption Of Risk, Indemnification, Release, and Consent for Emergency Treatment (waiver)<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/liability_forms\/Certificate%20of%20Insurance%20template.doc\" target=\"_blank\">Certificate Of Coverage (to edit and provide a vendor)<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/liability_forms\/Certificate-of-Coverage-and-Proof-of-Vehicle-Registration.doc\" target=\"_blank\">Certificate of Coverage and Proof of Vehicle Registration<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type docx\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/liability_forms\/Certificate-of-Insurance---Office-of-Risk-Management.docx\" target=\"_blank\">Certificate Of Insurance - Office Of Risk Management<span class=\"sr-only\"> docx<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type docx\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/liability_forms\/CLAIMS%20BOARD%20FORM.docx\" target=\"_blank\">Claim for Damages Against the State<span class=\"sr-only\"> docx<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type docx\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/liability_forms\/EO-Claim-Form.docx\" target=\"_blank\">E&O Claim Form<span class=\"sr-only\"> docx<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/liability_forms\/Facility%20Use%20Agreement%20(with%20concessions).doc\" target=\"_blank\">Facility Use Agreement (with Concessions)<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/liability_forms\/Facility%20Use%20Agreement%20(without%20concessions).doc\" target=\"_blank\">Facility Use Agreement (without Concessions)<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/liability_forms\/Field%20Trip%20Master.doc\" target=\"_blank\">Field Trip Master Waiver<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/property_forms\/General%20Incident%20Report%20Form%20(DOA-6441).doc\" target=\"_blank\">General Incident Report Form (DOA-6441)<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type xls\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/liability_forms\/part9af1.xls\" target=\"_blank\">Loss Reconciliation Report form<span class=\"sr-only\"> xls<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type pdf\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/liability_forms\/NCAA-2024-29-COI.pdf\" target=\"_blank\">NCAA Master Certificate<span class=\"sr-only\"> pdf<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/liability_forms\/NOC%20Form%20893.82%20Printable%20Version%202011-2%20UPDATED.doc\" target=\"_blank\">Notice of Claim form<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<\/div>\n<p><a href=\"https:\/\/www.wisconsin.edu\/compliance\/download\/Third-Party-Agreement-Template-SYS625-revised-2025.pdf\">Third Party Agreement Template (Facility Use Agreement)<\/a><\/p>\n<p><strong>Others<\/strong><\/p>\n<div class=\"doc-list\">\r\n<ul class=\"list-unstyled\"><li><span class=\"doc-icon\"><a class=\"doc-type pdf\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/others\/ORM-Intro-to-Risk-Management.pdf\" target=\"_blank\">ORM Intro To Risk Management<span class=\"sr-only\"> pdf<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/others\/sales_tax_exemption_form.doc\" target=\"_blank\">Sales Tax Exemption Form<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type docx\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/others\/UW-TULIP-Event-Questionnaire.docx\" target=\"_blank\">Special Event Questionnaire<span class=\"sr-only\"> docx<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type docx\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/Generic-Telecommuting-Agreement.docx\" target=\"_blank\">Telecommuting Form (Generic)<span class=\"sr-only\"> docx<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/others\/use_agmt.doc\" target=\"_blank\">Vehicle\/Equipment Use Agreement Form<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type doc\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/others\/use_authagmt.doc\" target=\"_blank\">Vehicle\/Equipment Use Authorization Form<span class=\"sr-only\"> doc<\/span><\/a><\/span><\/li>\r\n<li><span class=\"doc-icon\"><a class=\"doc-type docx\" href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/others\/Volunteer_Letter_Sample.docx\" target=\"_blank\">Volunteer Letter<span class=\"sr-only\"> docx<\/span><\/a><\/span><\/li>\r\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Affiliation Agreements: *REQUIRED for student placement in a clinical\/healthcare related setting &nbsp; Camps and Clinics Forms Camps and Clinics Blanket Accident Insurance &nbsp; Property Forms &nbsp; Liability Forms Third Party [&#8230;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-50","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.wisconsin.edu\/risk-management\/wp-json\/wp\/v2\/pages\/50","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wisconsin.edu\/risk-management\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.wisconsin.edu\/risk-management\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.wisconsin.edu\/risk-management\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wisconsin.edu\/risk-management\/wp-json\/wp\/v2\/comments?post=50"}],"version-history":[{"count":3,"href":"https:\/\/www.wisconsin.edu\/risk-management\/wp-json\/wp\/v2\/pages\/50\/revisions"}],"predecessor-version":[{"id":1647,"href":"https:\/\/www.wisconsin.edu\/risk-management\/wp-json\/wp\/v2\/pages\/50\/revisions\/1647"}],"wp:attachment":[{"href":"https:\/\/www.wisconsin.edu\/risk-management\/wp-json\/wp\/v2\/media?parent=50"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}