uaf logo
A to Z 

Environmental Health, Safety, and Risk Management
Environmental Health, Safety, and Risk Management
  • An Administrative Services unit
  • UAF Police
  • UAF Facilities Services
  • UAF
  • UAF Directory
Home » Applications and Forms Library
  • Report Unsafe Condition
  • About EHS&RM
  • Applications and Forms Library
  • Archived Safety Blurbs
  • Emergency Preparedness
  • Environmental Compliance
  • Ergonomics
  • Guidelines, Plans and Procedures Library
  • Hazardous Materials
  • Industrial Hygiene
  • Laboratory Safety
  • Occupational Safety
  • Radiation Safety
  • Risk Management
  • Training
  • edit


APPLICATION & FORMS LIBRARY


Claims Management

  • Auto Accident Report and Claim Form, UA's Report (PDF)
  • Auto Accident Report and Claim Form, Claimant's Report (PDF)
  • Incident Report, UAF Employee or Volunteer
  • Incident Report, Student, Visitor or other 3rd Party
  • Notice of Previous Injury and Illness (for State of Alaska Second Injury Fund)(PDF)
  • Property Loss Claim (PDF)

Environmental, Health, and Safety

  • Hazardous Shipment Request Form (WORD), (PDF)
  • Loss Prevention Funding Application (Fillable PDF)
  • UAF Accident / Incident Report - Employees and Volunteers
  • UAF Spill Reporting Form (WORD), (PDF)

Equipment Use Agreement

  • Agreement for Use of UA Equipment (PDF)
  • Agreement for Use of UA Vehicle(s) (PDF)

Facility Use Agreements

  • Facilities Use Agreement (PDF)
  • Facility Rental / Use Contract: UAF Athletics & Recreation (PDF)

Insurance

Just for Employees

  • Notary Bond Application (PDF)

Just for Students

  • Student Accident Insurance Application (PDF)
  • Student Professional Liability Insurance Application 
  • Student Property Insurance - NSSI Site

For UA Department Use

  • Sports Camps

Other Insurance Applications and Forms

  • Art Exhibit Record (PDF)
  • Board of Regents Beneficiary Designation (PDF)
  • Event Insurance - For non-university entities holding events on campus
  • Foreign Visitor Insurance - Application and Brochure (PDF)

Miscellaneous

  • Department Emergency Action Plan (DEAP) - PDF Fillable Form
  • UAF Event Form
  • University of Alaska Museum of the North - Volunteer Application (PDF)

Releases

For participants in UA activities / events

  • Participant Release - (Age 18 and over ONLY) - for UA courses and activities (PDF)
  • Participant Release - (Under 18 ONLY) - for UA courses and activities (PDF)
  • Participant Release - for student organizations (PDF)

For UA department use

  • Acknowledgement of Risk and Release of Liability for Family / Friend Accompaniment
  • Aviation and Automotive / Diesel Technology Departments'  Waiver and Hold Harmless Agreement - for use by property owner or volunteers (PDF)


Kimberly Knudsen – 11 July 2012, Wednesday 14:11


The University of Alaska Fairbanks is an affirmative action/equal opportunity employer and educational institution and is a part of the University of Alaska system.
For questions or comments regarding this website, contact UAF-EHSRM@alaska.edu