Accident Insurance for Campus Events

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.




















Please only enter a value greater than 0 if the person(s) participating are not an LSU student or LSU Employee. No other text characters are needed.


If coverage is being provided to anyone other than LSU Students please include an account number that will be billed at ten cents per person per day at the end of each semester. If Account is grant funded, please respond to your confirmation e-mail with the date that all charges should be processed.














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