Office of Insurance, Loss Control & Claims

Authorization Form for Motor Vehicle Records Check

Note: The Authorization Form for Motor Vehicle Records Check pertains to all IU campuses and locations except IPFW.

Most employees and students have a user id - the part of your university email address before the @ - Tarzan in Tarzan@indiana.edu If you have (and know) your User ID and password you can select the first (left hand) choice below and most of your information will be pre-filled on the form (you can still edit the information). Otherwise, select the second (right hand) choice.

If you are submitting information for someone else you must use the second (right hand) link.

   


Office of Insurance, Loss Control & Claims
400 E. 7th Street Room 705, Bloomington, IN 47405
812-855-9758 FAX 812-855-9320
A division of the Office of the Vice President and Chief Financial Officer
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