Auto Loss Notice Form

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Form Description

For all accidents or damage involving a University-owned vehicle or mobile equipment, a vehicle leased from Motor Fleet Management, or a rental or personal vehicle being used for University business, complete an Automobile Loss Notice and submit to Risk Management Services within 24 hours of the loss. If the vehicle was being operated at the time of loss, the driver must complete the Automobile Loss Notice. Otherwise, any department representative may complete the form.

Include any supporting documentation such as the accident report and driver's exchange slip when submitting the completed Automobile Loss Notice to Risk Management Services.

Links to Relevant Policy

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Article ID: 131857
Thu 4/8/21 9:18 PM
Thu 7/29/21 5:09 PM
Responsible Unit
School, Department, or other organizational unit issuing this document.
Risk Management Services and Mission Continuity
Issuing Officer
Name of the document Issuing Officer. This is the individual whose organizational authority covers the policy scope and who is primarily responsible for the policy.
Issuing Officer Title
Title of the person who is primarily responsible for issuing this policy.
Associate Vice Chancellor for Campus Safety and Risk Management
Next Review
Date on which the next document review is due.
06/26/2020 12:00 AM
Last Review
Date on which the most recent document review was completed.
06/27/2019 12:47 PM
Last Revised
Date on which the most recent changes to this document were approved.
06/12/2009 12:00 AM
Effective Date
If the date on which this document became/becomes enforceable differs from the Origination or Last Revision, this attribute reflects the date on which it is/was enforcable.
06/27/2019 12:47 PM
Date on which the original version of this document was first made official.
06/12/2009 12:00 AM