Insurance Request & Claims Forms
Request for Automobile Insurance![]()
Form for requesting automobile insurance for University-owned and leased vehicles.
Request for Equipment/Contents Insurance![]()
Form for requesting insurance coverage for University-owned equipment and contents.
Request for Short Term Insurance![]()
Form for requesting insurance coverage for equipment/contents on loan, rented or leased for a short period of time (less than a year).
Short term loss -- Art Exhibits![]()
Request for Builders' Risk Insurance![]()
Form for requesting Builders' Risk Insurance on University buildings undergoing Capital Improvements or high risk exposure renovations.
Request for Property Insurance![]()
Form for requesting Property Insurance for new location or leased location.
Request for Certificate of Insurance![]()
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 617-330-4730.
Automobile Accident Report![]()
To report an accident involving a University-owned vehicle.
Contents Loss Report![]()
To report loss or damage to Harvard-owned equipment and/or contents.
Short Term Insurance Loss Report ![]()
To report loss or damage to items specifically insured on a Short Term Policy.
Employee Incident Report![]()
For an employee to report incidents of bodily injury or property damage occurring on campus.
Claimant Incident Report![]()
For individuals to file claim for bodily injury or property damage.
Property (Building) Loss Report![]()
For Building Managers to report loss/damage to University-owned buildings.
Builders Risk Loss Report![]()
For Project Manager to report loss/damage to University-owned building during renovation/construction.
Fine Arts Loss Report![]()
To report loss or damage to fine arts and collectible objects.
For more information, please see our Frequently Asked Questions or Contact Us.