Student Trip Travel - LSU AgCenter

Completion of this form is not a guarantee of coverage. Events must meet all requirements outlined by the insurance policy. If you have any questions or would like to discuss program coverage please contact the Office of Risk Management.
 
 
Drop your files here
 
 
 
 
(Use xxx-xxx-xxxx format with no parentheses around area code)
 
(e.g. MC, ACCT, RNR, etc.)
 
Enter "1" for Student Organization or Department Travel Enter course number for all other instances (e.g. 1001, 3000, etc.) Only NUMBERS must be inserted into this selection.
 
Please enter a value between 1 and 200 (section number as seen on your class schedule)
 
(e.g. Baton Rouge Food Bank) Please only insert ONE location per entry. If you are traveling to multiple locations, please re-complete this form.
 
 
 
 
 
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I authorize that all information provided on this form, including any and all personal, financial and academic data may be shared with the LSU Risk Management and university insurance carriers and vendors. This data will be securely retained indefinitely. To learn more about privacy at LSU, please see the LSU Privacy Statement.
 
 

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