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This document is a request form for University of Maryland graduates to verify their professional malpractice coverage and claims history for an employer or institution.
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How to fill out Request for Verification of UM Student Professional Malpractice Coverage and/or Claims History

01
Obtain the Request for Verification of UM Student Professional Malpractice Coverage and/or Claims History form.
02
Enter your personal details in the required fields, including your name, student ID, and contact information.
03
Specify the type of coverage or claims history you are requesting.
04
Provide details about the specific period for which you need the verification.
05
Sign and date the form where indicated.
06
Submit the completed form to the appropriate office or department as instructed.

Who needs Request for Verification of UM Student Professional Malpractice Coverage and/or Claims History?

01
Students in healthcare or legal professions seeking to verify their malpractice coverage.
02
Employers requiring proof of coverage for internship or job placement.
03
Insurance companies needing to assess claims history for underwriting purposes.
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It is a formal document used to verify the professional malpractice coverage and claims history of University of Michigan (UM) students in certain professional programs.
Students participating in clinical placements or internships that require proof of malpractice coverage are typically required to file this request.
To fill out the request, students need to provide their personal information, details of the professional program, and specific coverage information requested by the agency or institution requiring verification.
The purpose is to confirm that a student has the necessary malpractice insurance coverage and to disclose any claims history to ensure compliance with external placement requirements.
The report must include the student's name, student ID, program of study, details of malpractice coverage such as policy number, coverage period, and a history of any claims made against the policy.
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