Office of 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 is to be completed by the MSU driver or an authorized representative of the department when an accident involving an MSU vehicle licensed for the roadway results in property damage to the property of others, bodily injury to anyone, or physical damage to the vehicle. It must be submitted on the day of the accident or as soon as practical after the accident. Upon submission, the form will automatically route to the form submitter’s supervisor (as assigned in EBS) for review and approval.  The individual submitting the form will also be copied on this email.
  • If the supervisor approves, the online form will then automatically route to RMI and the MSU Service Garage via email. The individual submitting the form and their supervisor will also be copied on this email.
    • An option to include an additional notification email address is located at the bottom of the online form if your unit requires another MSU departmental contact to be notified in addition to the supervisor. The additional notification email address will only receive a copy of the supervisor approved form.
  • If the supervisor disapproves, the individual submitting the form will receive an email notification to contact the supervisor to discuss the reason(s) for disapproval. The supervisor will also be copied on this email. The form will then need to be resubmitted per the supervisor’s guidance.

Note: If an MSU employee is injured in an automobile accident, notify MSU Workers' Compensation.

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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 RMI.

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 is to be completed by an MSU employee to report all non-employee accidents/incidents resulting in bodily injury or property damage that is not a result of a motor vehicle accident.
Notes:
(1) If a motor vehicle accident occurs involving a University owned vehicle, complete the Automobile Accident Report form. This form should be submitted to RMI at riskmgmt@msu.edu on the day of the accident or as soon as practical after the accident.
(2) If an employee is injured in any manner during the course of their employment, notify Workers' Compensation.

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Michigan Driver Record Request

This form is for departments to request a State of Michigan motor vehicle record review through RMI. For individual requests, complete the Michigan Driver Record Request Form (PDF) and for multiple requests, complete an Excel Spreadsheet. Submit all requests to RMI at riskmgmt@msu.edu.

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 RMI for review.

Students: University owned vehicles may not be used by students unless they are approved by a University department. When a department permits to a student to drive a University owned vehicle, that student will be required to do the following:

  • Have their driving record reviewed and approved by the Office of Risk Management and Insurance (RMI) prior to driving the MSU vehicle. This is required on an annual basis.
  • If the driver is an undergraduate student, they will be required to complete the Driving Safety for University Vehicle Use course in the Ability LMS, effective 10/1/2023 (one-time requirement). For additional information on this training requirement, and tracking progress and completion in Ability, please click here.

It is the responsibility of the department authorizing the use of the vehicle to ensure the above are complete.   

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

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

Registered Student Organizations (RSOs): RSOs and RSO Volunteers are NOT permitted to drive University-owned vehicles.

 

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MSU Property Loss Report

This form should be completed only when MSU owned property has been physically damaged or destroyed. The property loss must be reported by completing the MSU Property Loss Report (PDF) and submitting to the Office of Risk Management and Insurance at riskmgmt@msu.edu within 90 days of the loss. If not reported within 90 days of the loss, it becomes the financial responsibility of the department or unit incurring the loss.

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