Insurance Request & Claims Forms

Request for Automobile InsuranceWorf icon
Form for requesting automobile insurance for University-owned and leased vehicles.

Art Exhibit Agreementpdf icon
Form for requesting insurance for incoming loans when a formal loan agreement is not in place.

Request for Builders' Risk Insurancepdf icon
Form for requesting Builders' Risk Insurance on University buildings undergoing Capital Improvements or high risk exposure renovations.

Request for Property Insurancepdf icon
Form for requesting Property Insurance for new location or leased location.

Request for Certificate of Insurancepdf icon
Form to request certificate of insurance for contracts/agreements and off-site activities. Forward completed form (with copy of contract or agreement) via email to lemack@risk-strategies.com with a copy to stherrien@risk-strategies.com or via facsimile to 617-439-3752.

Automobile Accident ReportExcel icon
To report an accident involving a University-owned vehicle.

Contents Loss ReportWord icon
To report loss or damage to Harvard-owned equipment and/or contents.

Employee Incident ReportWord icon
For an employee to report incidents of bodily injury or property damage occurring on campus.

Claimant Incident ReportWord icon
For individuals to file claim for bodily injury or property damage.

Property (Building) Loss ReportWord icon
For Building Managers to report loss/damage to University-owned buildings.

Builders Risk Loss ReportWord icon
For Project Manager to report loss/damage to University-owned building during renovation/construction.

Fine Arts Loss ReportWord icon
To report loss or damage to fine arts and collectible objects.

For more information, please see our Frequently Asked Questions or Contact Us.