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..

Property Insurance Question?
Workers’ Compensation Question?
Liability Insurance Question?
Employee Benefit Question?
Student/Athlete Injury Question?

Hurricane Season Preparation

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. 

2021 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 BGilliam@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 BGilliam@fcsrmc.com

Athletics Injury Form

Click the icon above to view instructions related to filing athletic injury claims. Email Questions to BGilliam@fcsrmc.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 BGilliam@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 BGilliam@fcsrmc.com

Art Coverage Request Form

This form is used to request insurance coverage, or to make changes to coverage for college-owned artwork.
Email request to BGilliam@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 BGilliam@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 Quote Application

Click the button to download the Builder’s Risk application to obtain a builders risk quote. 
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

FCSRMC Team

Chauncey Fagler

Executive Director & Chief Risk Officer
Email

– FCSRMC Oversight
– Annual Operating Budget
– Audit Coordination

Tony Ganstine 

Associate Director
Email

– Workers’ Compensation
– Employee Benefits
– International Travel
– Stewardship Reports
– Financials
– Crime

Natalie Dyksterhouse

Enterprise Risk Manager
Email

– Employee Benefits
– Meeting Facilitation
– Wellness Program
– Health & Benet Fairs

Justin Piazza

Enterprise Risk Manager
Email

– Employee Benefits
– Wellness Program
– Health & Benefit Fairs
– FCSRMC I.T.

Joshua Davis

Enterprise Risk Manager
Email

– General Liability
– Educators Legal Liability
– Auto Liability
– Occupational Safety
– Sexual Misconduct/Title IX
– SREF Inspection

Marsha Hackathorn

Enterprise Risk Manager

Email

– Property Loss
– Cyber Security
– Drone Liability
– Fine Art

Selina Ohlson

Administrative Assistant
Email

– Staff Support
– Travel
– Invoice Processing
– Meeting Facilitation

Brandon Gilliam

Enterprise Risk Manager
Email

– Individual & Optional Insurance Policies
– Student Accident, Allied Health, Athletics
– Environmental Pollution
– Certifcate of Insurance (COI)
– Employee Benefit Billing

Contact Us:

Address:

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

Phone:
FAX:

352.955.2190

352.955.2069