University of Southern Indiana

Miscellaneous Forms

Below are various Risk Management forms.

Accident/Injury Investigation Form

If you have been injured, then fill out this form and submit it to Risk Management.

Become an Authorized Driver Form

If you want to become an Authorized Driver for USI, then review the information and submit the required forms.

Certificate of Insurance Request Form

If you need to request insurance for an event you may be hosting, then fill out this form, which will be submitted to Risk Management for review.

Vehicle Accident Reporting Form

If you are in a vehicle accident, then review the information, fill out the Accident Report Form and submit it to Risk Management.

Contact Mark Logel


Send Email to