Forms
Auto
- Auto Accident Report Form - All auto accidents regardless of severity must be reported to the Insurance Office within 48 hours.
- Auto Insurance Identification Card - Request a copy of Brown's Auto Liability Insurance Identification Card when renting a vehicle.
- Driver Training / Driver Authorization Form - In order for Faculty, Staff and Students to request driver training and to become an Authorized Driver for the University, this from must be completed.
- Release and Applicant Information Form - Necessary to conduct a Motor Vehicle Record Check, which is required for all authorized drivers.
Brown University Property Insurance
- Report a Loss - Description and details of theft or damage to property, computer, or laptop equipment.
- Request for Property Insurance Coverage Form - Complete this form to provide a description and details of items to insure that are owned by Brown, or items that Brown is contractually obligated to provide insurance coverage for.
Fine Arts
- Request for Fine Arts Insurance Coverage Form - Complete this form to provide a description and details of items to insure that are owned by Brown, or items that Brown is contractually obligated to provide insurance coverage for.
Certificate of Insurance
- Certificate of Insurance Request - Complete this form to provide a description and details of departmental need to provide proof of coverage under Brown's insurance for University related events.
Workers Compensation
- Injury Report Form - All injuries regardless of severity must be reported to the Insurance Office within 48 hours. Click here for guidelines on injury reporting.
Student Health Insurance
- Student Health Insurance Forms Page
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Consolidated Health Plans Medical Claim Form (for claims after 8/15/07)
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Express-Scripts Prescription Drug Claim Form (for claims after 8/15/07)
- Click here to request a verification letter for your Student Health Insurance Plan