Request for Group Accident

*Please note that Group Accident Requests must be submitted at least two business days before the event for insurance purposes. 

Request for Group Accident Insurance Coverage

Requests for Group Accident cannot be guaranteed unless submitted to UNM Risk Services at least two business days prior to the planned trip start date. 

Please complete and submit the form; a confirmation number will be issued via email.

If you have any questions or concerns, please call Kathy Jacques (505) 553-3177.