Who We Are

This is a program authorized by the Florida Legislature, which allows the Florida College System in the state of Florida to join together to develop and implement a statewide cooperative system of risk management under one comprehensive plan.

What We Do

FCSRMC delivers comprehensive and innovative enterprise-wide risk management services and solutions to support the educational mission of the Florida College System..

Hurricane Season Preparation

2021 Materials will be published mid-May. The best time to prepare for a Hurricane is before hurricane season begins on June 1. It is vital to understand your college’s vulnerability to storm surge, flooding, and wind. The Hurricane Preparation Packet can be downloaded by clicking the button, below. 

2020 Hurricane Preparation Packet

Risk Management Forms

Certificate of Insurance Request Form

This Form is used to request Certificates of Insurance for your business partners.
Email Completed form to COI@fcsrmc.com

Accident-Incident Form

This form is used to report Property & Casualty claims to FCSRMC.
Email Completed form to Claims@fcsrmc.com

Student Accident Form

This form is used to report claims when a student is injured while participating in a covered curriculum.
Email Completed form to JPiazza@fcsrmc.com 

Allied Health Form

This form is used to report claims when college students or faculty injure a third party while participating in a covered curriculum. 
Email Completed form to JPiazza@fcsrmc.com

Athletics Injury Form

This form is used to report Athletics claims to FCSRMC and the insurance adjuster.
Email Completed form to ClaimsAdministration@relationinsurance.com

Property Coverage Request Form

This form is used to request insurance coverage, or to make changes to coverage for college-owned properties.
Email completed form to mhackathorn@fcsrmc.com

Vehicle Coverage Request Form

This form is used to request insurance coverage, or to make changes to coverage for  college-owned vehicles.
Email completed form to mhackathorn@fcsrmc.com

Art Coverage Reuest Form

This form is used to request insurance coverage, or to make changes to coverage for college-owned artwork.
Email request to mhackathorn@fcsrmc.com

Watercraft Coverage Request Form

This form is used to request insurance coverage, or to make changes to coverage for college-owned watercraft.
Email completed form to mhackathorn@fcsrmc.com

Workers’ Compensation Form Packet

Click the button above to download a workers’ compensation form packet, including the First Report of Injury, Referral for Medical Services, and Wage Statement.

Builder’s Risk Coverage Request Form

Click the button above to download the Builder’s Risk Coverage request form. 
Email completed form to mhackathorn@fcsrmc.com

2021 FCSRMC HIPAA Materials

This packet containes useful documents to aid in your HIPAA educational activities.

Risk Management Program Brochures

Property & Casualty Program Brochure

Optional Program Brochure

Risk Management Training Brochure

FCSRMC Team

Chauncey Fagler

Executive Director & Chief Risk Officer
Email

Tony Ganstine 

Associate Director
Email

Natalie Dyksterhouse

Enterprise Risk Manager
Email

Justin Piazza

Enterprise Risk Manager
Email

Joshua Davis

Enterprise Risk Manager
Email

Marsha Hackathorn

Enterprise Risk Manager

Email

Selina Ohlson

Administrative Assistant
Email

Brandon Gilliam

Risk Management Associate
Email

Contact Us:

Address:

4500 N.W. 27th Avenue, Suite B-2, Gainesville, Fl 32606

Phone:
FAX:

352.955.2190

352.955.2069