Team Leader and Insurance Forms

Note:  All forms must be in the UMVIM, SEJ office at least two weeks before travel.

• What forms are required? 

• Other recommended forms? 

• Forms due after we get home?

• Can I fill these out on line and save them and send via email?

Required forms

            These forms are to be sent to UMVIM SEJ (either as an attachment or to surface address on form).

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1.      Project Commitment & Team Leader Agreement

a.      Due as soon as your date is set.

2.      Team Roster - without this fully completed form, your team is NOT insured.

a.      Needed in the UMVIM office at least two weeks before travel.

b.      All information must be completed for every team member (including date of birth).

c.      If you send a check by surface mail, be sure to include a hard copy of this form with the check.

d.      If you pay on-line, you still must complete and send this form!

3.      Missioner Profile and Release of Claim

a.       One per team member

b.      A signed hard copy for each person must be sent to the UMVIM office before team departs.

c.       Team leader keep one copy for each member.

Forms for use of the Team Leader:

            These forms are to be kept by the team leader.

1.      Medical Information and Release

a.       Useful in securing medical treatment in an emergency

b.      Provides important medical information and authorization to facilitate treatment.

2.      Parental Consent (for members under the age of 18)

a.       This form (or a similar one provided by your air carrier) is required, not by UMVIM, but by your airline.  Consult your airline to learn the specifics regarding permission for minor travel abroad.

3.      Notification of Death

a.       For the disposition of remains

Forms due upon return home:

          Please complete and return these forms to UMVIM after your mission is complete.

1.      Finalized Record of Expenses/Team Leader Evaluation

a.       Provides important data that can be useful to future teams.

2.      Team Member Evaluation

a.       Provides important feedback to future teams

b.      It is often useful to distribute these on the flight home and take them up prior to landing.