Risk Management Forms

enable you to submit a form online. (Please print a completed form for your own record) enable you to download a form in PDF file Auto Claims -- Vehicle Accident Investigation Form Important to report claim within 24-48 hours of an accident. Claim forms are found in all BYUH vehicles. If an accident involves an injury, it must be reported immediately. Auto Claims -- Witness Statement Form Important to report claim within 24-48 hours of an accident. Claim forms are found in all BYUH vehicles. If an accident involves an injury, it must be reported immediately. Employee Accident Report Important to report all work-related injuries to your supervisor within 24 hours of an accident. Facts of Accident (Supervisor's Report of Accident) Important to report claim within 24 hours of an accident. Reports should be turned in to the BYUH Workers Compensation office located in the Human Resource department in the Lorenzo Snow Administration building. BYUH Property-Loss Claim Form To be used for BYUH-owned property (non-auto and non-building losses over $100) Report claim within 24-48 hours once damage/loss is noted. Losses involving theft/vandalism/arson needs a police report to accompany claim. Misplacement of an item will not be covered. Claim forms are available in the Human Resource office. NONBYUH Property-Loss Claim Form To be used for personal property losses of personnel, students, guests, & visitors not caused by any negligence on BYUH's part but in connection with university affairs. Coverage is limited. Claims are reviewed on a case-by-case basis. Claim must be sent to your primary insurance carrier first. Out of pocket costs are then considered by the University. Does not cover what you wear, jewelry, glasses or watches, etc. Will only pay the actual (used) value of an item. BYUH Building & Structures Loss-Claim Form For Building Contents or Other Moveable Property Use: BYUH Property-Loss Claim Form BYUH Report for Nonwork-Related Injuries For Building Contents or Other Moveable Property Use: BYUH Property-Loss Claim Form Request for Certificate of Insurance -