UCCS Automobile Loss Notice

Please fill out this form to report an automobile loss related to the University of Colorado - Colorado Springs campus.


ACCIDENT INFORMATION


UNIVERSITY DEPARTMENT INFORMATION


UNIVERSITY VEHICLE INFORMATION


UNIVERSITY DRIVER INFORMATION


OTHER VEHICLE OR PROPERTY INVOLVED

(Make, model, year, plate number, etc.)

INJURED PARTIES


If you are having trouble submitting this report, please email riskmgmt@cu.edu or call 303-860-5682.

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