Get Texas Tech University Special Risk Accident & Liability Insurance Enrollment Form

This guide provides clear and comprehensive instructions on completing the Texas Tech University Special Risk Accident & Liability Insurance Enrollment Form online. By following these steps, you will ensure that you accurately fill out the necessary information required for coverage.

Follow the steps to successfully complete the enrollment form.

1. Press the ‘Get Form’ button to access the enrollment form and open it for editing.
2. In Part I, provide the 'Name of Institution' (e.g., Texas Tech University) in the designated field.
3. Specify the 'Name of Camp / Clinic' in the provided space.
4. Complete the 'Mailing Address' section by filling in the street, city, state, and zip code.
5. Enter the 'Contact Name' along with their 'E-Mail Address'.
6. Provide a 'Phone Number' and 'Fax Number' if applicable.
7. Indicate the 'Effective Date of Coverage' and 'Termination of Coverage' accordingly.
8. Fill in the 'Age range of campers' that will be participating in the camp.
9. Specify the 'Hosting Department' responsible for the camp.
10. In the 'Description of Camp Activities', describe the activities planned for the camp.
11. Answer whether there will be overnight campers that are minors by selecting 'Yes' or 'No'.
12. If applicable, complete the additional questions regarding background checks, written standards, and previous incidents.
13. In Part II, calculate the premium by entering the appropriate details about the classification of campers, their number, days, rates, and corresponding premiums.
14. Compute the 'Estimated Premium' based on the information filled out.
15. Ensure that the camp director/coordinator/coach signs and dates the application in the designated space.
16. Finally, review the completed form for accuracy, then save changes, download, print, or share the form as needed.

Complete your Texas Tech University Special Risk Accident & Liability Insurance Enrollment Form online today!