Forms

• Event Approval Forms & Instruction
• Event Policy, Alcohol & UND Waivers
• Minors on Campus Policy & Forms (in Vector Solutions for UND Employees)
• Facilities Use Agreement Template

Other Incidents

• Work Comp Claims Management Checklist for Supervisors
• Sharps injury log IBC Adverse Event Reporting Form
• Fire Call Report Form

• DMP Memo
• Designated Medical Provider (DMP) Form

• Out of State Workers Compensation Coverage Memo
• Out of State Workers Compensation Coverage Form

• International Travel -  Outside the U.S. Travel
• Notification of Out-of-Country Workers Compensation Coverage
• Employee Work-Related Travel Policy Coverage Information

• Volunteer Workers Compensation Memo
• Volunteer Form Instructions
• Volunteer Workers Compensation Form
• Volunteer Waiver

• Departmental AED Request Form
• AED Monthly Tracking Sheet

• Eyewash Monthly Inspection Sheet

Duress Alarm Request Form

North Dakota Workforce Safety and Insurance

• Domestic-International Student Field Trip Form
• UND Waiver (Field trip)
• UND Waiver (Field trip with free time)

• UND Waiver
• UND Participation Waiver (Under 18 years of age)
• UND Waiver(Field trip)
• UND Waiver (Field trip with free time)

Departmental Building and Property Loss Report - for FM use only

• University Property/Equipment Check-out Form (Employee/Department)
• University Property/Equipment Check-out Form (Off Campus)
• University Property/Equipment Check-out Form (Students)

Surveillance Equipment Request Form (240a)

The purpose of the Surveillance Equipment Standard Practice (240a) is to regulate the use of Surveillance Equipment for the purpose of security. This applies to all personnel, schools, and centers of the University in the use of surveillance equipment. This Standard Practice is not intended to cover the use of Web cams unless the Web cam is used for surveillance.

• Form Instructions
• Chemical/Universal Waste Disposal Form/Manifest
• Biological Waste Disposal Form/Manifest
• Radioactive Waste Disposal Form/Manifest

DEA Controlled Substances

• Fire Drill Evaluation Form
• Fire Extinguisher Training Handout
• Fire Extinquisher Monthly Inspection Checklist

• Appendix A - Animal Exposure Risk Assessment
• Appendix B - Health Risk Assessment
• Appendix C - Medical Surveillance Questionnaire
• Appendix D - MP Health Assessment & Declination
• Appendix E - OHP Annual Notification

Safety Information Cards

• All Departments

• Surveillance Equipment Request Form (240a)
• Municipal Parking Ticket Review Form

• Clery Letter
• CSA explanation sheet
• Crime Statistic Report Form
• Sexual Assault Form
• Report a Crime (Anonymous)

• Chemical Requisition Policy
• Chemical Requisition Form
• Chemicals in Use & Storage Form

• Application for Authorization to Possess & Use Radioactive Material
• Application for Authorization to Possess & Use Radiation Producing Machines
• Radioactive Material Requisition Form
• Radioisotope Receiving Form
• Radioactive Waste Disposal Form
• Decontamination of Equipment Form
• Radiation Badge Request Form
• Radioactive Material Users Information Form

Contractor/Working Visitor Form

• Workers Compensation Process
• Hazard Communication
• Safety Data Sheet Sample Form
• UND Training Record