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Forms

 

When filling out any of these forms, please use only the latest version of Adobe Reader. Before completing the document, save the form (PDF format) to a location on your computer. When you are ready to complete the form, open the form in Adobe Reader and complete all required fields. Then, save the file to your computer. Click the “Submit” button, which will open an email window, and click send.

Note: Do not complete the form online within your web browser; your data will NOT be saved. Please save it to your computer first, and then fill it out.


  1. Accident/Incident Report Form - EH&S

 

  1. Certificate of Insurance Request Form

    2.  

  2. Property Claim Report Form

 

  1. Property Insurance - Addition/Deletion Forms:
    1. University-Owned/Property, Buildings & Contents
    2. Leased Space/Contents Costs Only - Exceeding $250K
    3. Fine Arts & Historical Treasure Collections

 

  1. Vehicle Accident Report Form

 

 

Contact Us

Risk Management
University of Pittsburgh
1817 Cathedral of Learning
Pittsburgh, PA 15260

Hours:
8:30 to 5:00 M-F