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General Insurance Questions/Risk
Management Procedures
Claim Information/Reporting
Safety, Environmental Management
and Emergency Response
Risk Management Offices
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Fax:
817.257.7744
-
 Email:
Riskmgt@tcu.edu
Some
forms
are provided in an Acrobat .pdf format. To obtain the latest version
of Adobe Acrobat Reader, click on the icon above.
Accident
Forms
Auto Accident Report
.pdf - TCU's
internal auto accident report form. Complete and return to Hao
Tran, Box 297110.
Employee Accident Report.pdf
- TCU's
internal accident/injury report form. To be
completed by the injured employee and returned to the
Supervisor.
Personnel Injury Report.pdf
- TCU's internal accident/injury report form for employee
injuries. To be completed by the supervisor of an
injured employee. This is a .pdf form.
Fill in
the blanks, print, and fax (x7744) -- or send the completed
form through interoffice -- to: Hao
Tran, Box 297110.
Witness Accident Report.pdf
- TCU's internal
witness form. To be completed by any person witnessing
a personal injury or accident of a visitor, student or staff
member. Return to Hao Tran,
Box 297110.
Safety/Environmental
Forms
Indoor
Air Quality Report.pdf
- TCU's internal form for reporting indoor air quality (IAQ)
problems. To be completed by the individual experiencing IAQ
problems and returned to the Safety Department, Box 297130.
Experiential
Learning Forms
Informed
Consent and Assumption of Risk.pdf -
TCU's internal form for informed
consent and assumption of risk for credit course field trips,
internships and practica. This should be retained
in the departmental files for one year. This is a .pdf form. Fill in the blanks,
print and obtain the appropriate signatures.
Instructions
- Informed
Consent and Assumption of Risk.pdf
- Fact Sheet.
Provides instructions on using the Informed Consent and
Assumption of Risk form.
Student Participation
and Voluntary Activities Forms
Student Participant Release &
Indemnity.pdf - TCU's internal for
release and indemnity for student participation in those
activities that are voluntary or do not involve a for-credit
course.
Vehicle Use Guidelines and Forms
Car
Rental Insurance Information.pdf
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Fact Sheet. This form
provides a guide to choosing the proper insurance coverage for
vehicles rented in TCU's name.
Student Driver Application Form
- TCU's internal form for obtaining information on a
students driving record prior to using vehicles for university
business. This form should be completed and filed in the
associated department's records. This is a .pdf form. Fill
in the blanks and print.
Use
of 15-passenger Vans - Provides information
on the TCU policy concerning the use of 15-passenger - and
similar size/style - vehicles.
Cellular
Phone Usage While Driving -
Fact Sheet. Provides information on TCU policies concerning the use
of cellular phones while driving vehicles on university
business.
Off-road Vehicle Insurance Coverage - TCU's
internal reporting form for ensuring that university owned or
leased golf carts, yard trucks and similar vehicles are
properly covered under the university insurance. This is a .pdf form.
Fill in the blanks and print. Forward to Hao Tran at Box 297110 or
fax to x7744.
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