Forms

Automobile Accident Reporting Form

Instructions
Complete, scan, and email the form to riskmgmt@yorku.ca
A copy of this form should be in the glove compartment of every York University vehicle. When printing additional copies please print double sided on legal sized paper.

Certificate of Insurance Request Form

Form
Certificate of Insurance Request Form
ONLINE FORM (Passport York login required)
Instructions
Complete and submit the form online through MachForm.
Attach any corresponding agreements or contracts to the application.

Driver Profile Form

Form
Driver Profile Form
FILLABLE PDF
Instructions
Complete the form, including departmental signature, and email to riskmgmt@yorku.ca
For new drivers, please attach a Ontario 3-Year Driver Abstract and a copy of their drivers license (front and back) when submitting a completed driver profile form. Incomplete/unattached documents will result in a delay.
A reminder that a new Driver Profile must be submitted upon the renewal of an existing driver's license.

Hazard Reporting Form

Form
Hazard Reporting Form
ONLINE FORM
Instructions
Complete and submit the online form via MachForm.

Incident Report Form (Non-Employee)

Form
Incident Report (Non-Employee)
ONLINE FORM (Passport York login required)
Instructions
Complete the report via MachForm.
Complete the report and email to riskmgmt@yorku.ca and to your Area Health and Safety Officer.

Student Film Production Insurance

Instructions
Students: Complete the MachForm application and include any agreements, contracts, and licenses. Make sure the form is submitted to your course director/supervisor.
Course Directors/Supervisors: Review the application. If approved, please use the MachForm system to forward the application to Risk Management's attention.

UAV (Drone) Registration Form/Insurance Application

Instructions
Complete the form and email it to riskmgmt@yorku.ca
A reminder that if the pilot of the UAV is a student, the form requires the signature of student's Supervisor.

UAV (Drone) Written Permission Template

Instructions
If flying on or over private property, please have the property owner(s) sign the License Agreement Permission Template. Please attach all completed agreements with your application.

York University Third Party Certificate of Insurance Template

Instructions
Send to broker or insurance company to have completed. Email completed certificate to riskmgmt@yorku.ca.