This form is used by departments to request driving records (for Wisconsin drivers) in pre-employment or post-offer situations. Risk Management cannot access out-of-state driving records.
This form is used by departments needing to check an applicant’s driving record in pre-employment or post-offer situations.
You can request up to four (4) driver authorization checks per form submission.
Please note:
Risk Management guidance for University sponsored field trips occurring as part of a UW–Madison course, program, or event. Includes Field Trip Participation and Emergency Contact Form and Alternative Transportation Waiver for Campus Field Trip.
The Office of Risk Management has created guidance for University sponsored field trips occurring as part of a UW–Madison course, program, or event.
The guidance includes these form templates:
ORM UW–Madison Field Trip Guidance (PDF)
Use the “Download” option in Box (button in upper right) to download the PDF. You will then be able to see the fillable form fields on pages 3 and 4.
If you have specific questions related to this document, please email us at riskmgmt@bussvc.wisc.edu.
Dependent Enrollment Form
Lighting Affidavit Form
Assumption of Risk Form
Non-Employee Incident Report Form
*If you are having difficulty completing this online form, please contact risk management at riskmgmt@bussvc.wisc.edu.
UW-MADISON NEAR MISS / UNSAFE ACT / UNSAFE CONDITION REPORT
Download Near Miss Report 1018
NEAR MISS– Near Miss (sometimes described as near hit) describes incidents where no property was damaged and no personal injury sustained, but where, given a slight shift in time or position, damage and/or injury easily could have occurred. This report is intended to help document these situations with the goal of prevention of future similar events. This form can also be used to report general unsafe acts and/or conditions. Anyone of the campus community may complete and submit. It is everyone’s responsibility to report and/or correct these potential accidents/incidents immediately.
The completed report is to be given to one’s supervisor/chair/faculty/building manager or other responsible individual for review and action. If necessary immediate corrective action shall occur to either eliminate the hazard or implement temporarily solutions until long term resolution is completed. This may include writing a work order to Facility Services for repairs. Attach pictures, additional sheets and other documentation if available.
Contact Supervisor for assistance in evaluation of these events. Supervisor may contact Environment, Health and Safety for evaluation assistance as necessary at 608-265-5000.
Volunteer Driver Form
Volunteers who do not have a NetID and who are eligible to become an authorized driver must work with their supervisor to complete this UW–Madison Volunteer Driver Authorization Request Form.
The supervisor must email a copy of the Volunteer Appointment Letter along with the completed UW–Madison Volunteer Driver Authorization Request form to driverauth@bussvc.wisc.edu.
Applicants and supervisors will be notified of approval/denial within 10 business days via email.
Download the UW–Madison Volunteer Driver Authorization Request Form (PDF)
Vehicle Accident/Incident Report
Download Vehicle Incident Report (PDF)
Form version last updated December 2020.
Request for Art Exhibit Coverage