Forms

Automobile

Driver’s Report of Vehicle Accident

State of Tennessee Vehicle Accident Reporting Instructions

Property

T-100 Property Report

T-66 Equipment Inventory Acquisition Report

Property Loss Report

Property Claim Packet

Tort: Incidents (Near-Miss, Non-Work-Related Injury, Students, Visitors, Minor Property Loss, ETC.)

Incident Report E-Form

State of TN Claim Portal

Inland Marine

Inland Marine (Equipment) Insurance Request Form

Workers’ Compensation

WC Procedures Report – required 

WC Injured Worker Statement – required

WC Supervisor Statement – required

WC Transitional Duty Plan (TDP)

WC Payroll Options Form

WC Lost Time/RTW Calendar

Waivers

UT Agreement for Indemnification, Release, and Consent for Emergency Treatment (Long-Term)

UT Agreement for Indemnification, Release, and Consent for Emergency Treatment (Short-Term)

Certificate of Insurance Request

Request for Proof of Insurance Coverage E-Form

Unmanned Aerial Systems (Drones)

Unmanned Aerial System Insurance Request Form

Research Freezer Loss Control Program

Freezer Loss Control Checklist

FreezerAudit – Data Collection Sheet

Critical Freezer Register_BLANK