Risk Management Forms

Completed forms should be emailed to the Risk Management office (risk@umw.edu).

UMW Employee Requesting the Certificate * Required
First Last
Department * Required
Email * Required
Event or Purpose for the Certificate * Required
Name of Organization as it Should Appear on Certificate * Required
Organization Contact Name * Required
Address of the Organization * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Coverage Period * Required
Attach Signed Contracts & Facility Rental Agreement (if applicable)
Drop files here or

Accepted file types: pdf, doc, jpg, gif, Max. file size: 5 MB.
Description/Additional Information * Required