Over the Side & Field Equipment Coverage Request

Principal Investigator/Contact Information

First Name(s)*

Last Name(s)*

Phone #*

E-mail Address*

Department*

Project Information

Please use the spaces below to enter project information. You may choose to upload supporting documents in the section that allows for file attachment.

Project Name*

Project Description*

Describe what the project will entail. Please include any collaborative partners on the project, such as NOAA, NSF, other universities, etc. Example: "The Environmental mooring component is aimed at measuring shallow water acoustics using ADCP, ADP instruments which will be moored inline along with Microcat and SBE instrumentation. The equipment will be submerged in the approximate location of 39 deg. 2 min. N, 73 deg. 5 min. W, in a maximum depth of 466m."

Deployment Date

The deployment's operations will be conducted from:

Retrieval Date

The deployment's operations will be conclude:

Will the equipment be deployed outside of the U.S. or its territorial waters?*

Select or enter value

Vessel Name (If Applicable)

File Attachments

You may attach a schedule of equipment rather than completing each of the "Equipment Information" fields (below), but the attachment must include the cost of each item. If no schedule of equipment is available, please use the "Equipment Information" fields, below. If you need to submit additional items, please contact LSU Risk Management (225) 578-6619. Please upload a picture(s) of the equipment using this attachment field, regardless of the chosen entry method.

Drag and drop files here or

Equipment Information

Please use these fields to submit information about the equipment if a "Schedule of Equipment" is unavailable. Please remember to attach a picture(s) of the equipment in the attachment field above.

Equipment (1) Name

Equipment (1) LSU Inventory #

Equipment (1) Value ($)

Equipment (2) Name

Equipment (2) LSU Inventory #

Equipment (2) Value ($)

Equipment (3) Name

Equipment (3) LSU Inventory #

Equipment (3) Value ($)

Data Authorization*

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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