Risk Management & Insurance Forms

Aircraft Charter Qualification Form

All aircraft charter companies that wish to be approved for use by MSU must submit the Aircraft Charter Company Qualification form (PDF). Applicants will also need to include a Certificate of Insurance evidencing liability limits of $3 million per seat or more and naming Michigan State University and its Board of Trustees as additional insured, as well as a FAA Air Carrier Certificate, and have a minimum of an ARG/US Gold rating or be a Wyvern Wingman Operator.  Approved companies will appear on the Approved Charter Aircraft list.

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Automobile Accident Report

This form should be completed by the MSU driver or an authorized representative of the department, when an accident involving a MSU vehicle results in property damage to the property of others, bodily injury to anyone or physical damage to the vehicle.  It must be submitted to the Office of Risk Management and Insurance at riskmgmt@msu.edu on the day of the accident or as soon as practical after the accident.

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Employee Driver Certification

Employees, who are assigned to drive a University-owned vehicle to perform any MSU assigned tasks, must complete the Employee Driver Certification (PDF) form annually. Departments are responsible for reviewing and maintaining signed forms. This form is to be retained in the departmental office and is not to be used for ordering motor vehicle records from Risk Management and Insurance.

Employees that transport minors must have been subject to a motor vehicle record review within the last twelve months as required by the Youth Programs Policy.

To request a State of MIchigan driver record review, complete the Michigan Driver Record Request (PDF) form.

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Injury/Property Damage Report

This form should be completed by an MSU employee to report all accidents/incidents resulting in bodily injury or property damage which do not involve a motor vehicle. Forms should be submitted to Risk Management and Insurance at riskmgmt@msu.edu on the day of the accident or as soon as practical after the accident.

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Michigan Driver Record Request

This form is for departments to complete in order to have a driver's State of Michigan motor vehicle record reviewed.

It is required that all students have their record reviewed in order to be authorized to drive a MSU vehicle. Such review must take place prior to driving the vehicle and at least annually thereafter. Departments are responsible for ensuring this is done.

It is recommended that all faculty/staff authorized to drive a MSU vehicle have their record reviewed on an annual basis.

Employees and volunteers that transport minors must have been subject to a motor vehicle record review within the last twelve months as required by the Youth Programs Policy.

Registered Student Organizations and Volunteers are NOT permitted to drive University-owned vehicles.

Departments can obtain State of Michigan motor vehicle records through the Office of Risk Management and Insurance. If a driver is licensed in a state other than Michigan, the department may submit a copy of the driver's out of state motor vehicle record to our office for review.

For individual requests, complete the Michigan Driver Record Request Form (PDF) and for multiple requests, complete an Excel Spreadsheet. Submit all requests to the Office of Risk Management and Insurance at riskmgmt@msu.edu.

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MSU Property Loss Report

This form should be completed only when MSU owned property has been physically damaged or destroyed. Please submit finished forms to Risk Management and Insurance at riskmgmt@msu.edu.

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Veterinary Incident Report Form

This form should be completed by a College of Veterinary Medicine employee or student to report a veterinary incident. All completed forms should be submitted to Risk Management and Insurance at riskmgmt@msu.edu.

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