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CAMPUS SAFETY & SECURITY

Grand Forks, ND

CAMPUS SAFETY & SECURITY


Workforce Safety & Insurance
 


The following forms are in PDF format. In order to view and print the forms, Adobe Acrobat Reader must first be installed on your computer. If you do not have Adobe Acrobat Reader, you can download it for free. Click the image below to get your free version of Adobe Acrobat Reader.

 

Incident Forms:
Incident Report Form(Student Non-Employee and Visitor) excel
Incident Investigation Form (Witness Injury of Student or Visitor) excel

Field Trip Form and Instructions :
Domestic - International Student Field Trip Instructions word
Domestic - International Student Field Trip Form excel

Foreign Travel
Foreign Travel Card pdficon

Overseas Travel Workers Compensation - (More than 30 days and less than 1 year) Form pdficonexcel
Overseas Travel Workers Compensation - (More than 30 days and less than 1 year) Instructions
pdficonword

Volunteers Workers Compensation Forms
Volunteer Form Instructions pdficon word
Volunteer Form pdficonword
Volunteer Waiver Formpdficon word

Reporting a Loss Form
Departmental Building & Property Loss Report excel

State Fire and Tornado Forms
Building Application (SFN 16259)pdficon
Coverage Change on Current Property Insured (SFN 3380) pdficon

 

 

Contact Info:


corrinne
Corrinne Kjelstrom
Insurance Specialist/Office Manager
Campus Safety & Security
Phone: (701) 777-3341
Fax: (701) 777-4132


University of North Dakota | Campus Safety & Security
The University of North Dakota Grand Forks, ND 58202
© Send questions/comments about this web site to the Campus Safety & Security Webmaster.
Tel: 701-777-2011
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