{"id":1468,"date":"2025-07-31T11:00:57","date_gmt":"2025-07-31T16:00:57","guid":{"rendered":"https:\/\/uwm.edu\/safety-assurances\/?page_id=1468"},"modified":"2026-03-03T15:07:29","modified_gmt":"2026-03-03T21:07:29","slug":"affiliations","status":"publish","type":"page","link":"https:\/\/uwm.edu\/safety-assurances\/programs\/risk-management\/affiliations\/","title":{"rendered":"Affiliations"},"content":{"rendered":"\n<div class=\"uwm-l-row\">\n<div class=\"uwm-l-col\">\n<p>An&nbsp;<strong>Affiliation Agreement<\/strong>&nbsp;is a formal contract between UW-Milwaukee and the placement agency (this is a non-UW-Milwaukee institution or business where the student(s) will have the experience).&nbsp;It identifies the responsibilities and liabilities of the various parties covered by the contract. Students engaged in these placements are not paid and the experience is required for graduation. UW-Milwaukee does not require Affiliation Agreements. These contracts are signed by the agency and the Director of University Safety and Assurances not the Dean of a College or Departmental Personnel.<\/p>\n\n\n\n<p>There are two types of placements, Clinical and Field. A Clinical placement is in a hospital or medical setting. A Field placement is everything non-Clinical. Please note: Clinical placements and schools require Caregiver Background checks. A Uniform Affiliation Agreement template for student placements is found below as well as the Caregiver Affiliation Agreement Addendum and Affiliation Agreement checklist. This checklist must be submitted with the Affiliation Agreement to the Risk Management Office for signature.<\/p>\n\n\n\n<p>A&nbsp;<strong>Program Memorandum<\/strong>&nbsp;is a document that describes the placement of the student(s). It specifies the course content, the expectations of the student and the agency and may include special requirements. These documents are signed by the Dean or Dean\u2019s designee.&nbsp;The Dean can appoint a designee via this <a href=\"https:\/\/panthers.sharepoint.com\/:w:\/s\/USA\/EUhNIloWWqpEpVZ2Ict_TKgBLkLJ-jdv0MAw-qnb9dBe7A?e=DjG0vB\">attached letter (DOCX)<\/a>. Questions regarding Program Memoranda should be directed to the Legal Affairs Office.<\/p>\n\n\n\n<p><strong>Departmental placement coordinators<\/strong>&nbsp;are the main contacts with the placement agencies. Please go to the&nbsp;<a href=\"https:\/\/panthers.sharepoint.com\/sites\/USA\/_layouts\/15\/guestaccess.aspx?guestaccesstoken=hpOR7pmJTuVmlaW77goE4CIl8HlsPX5JOX3pylawTlQ%3d&amp;docid=00a4a6c85eb534afd9669b9b780489047&amp;rev=1\">\u201cTips for Placement Coordinators\u201d&nbsp;(PDF)<\/a> for additional information regarding the process of establishing an Affiliation Agreement.<\/p>\n\n\n\n<p><strong>California, Oregon, Washington and Colorado stipulate Worker\u2019s Compensation coverage for student experiences requiring affiliation agreements.&nbsp;<\/strong>UWM students who plan to do internships, practicums or clinical placements in these states will need to obtain a separate workers compensation insurance policy. The cost of this policy will be the responsibility of the student or Department. Contact the Risk Management Office at <a href=\"mailto:riskmgt@uwm.edu\">riskmgt@uwm.edu<\/a>&nbsp;or&nbsp;<a href=\"tel:4142296339\">414-229-6339<\/a> for additional information.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-agreements-amp-checklist\">Agreements &amp; Checklist<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/affiliation_agreements\/2014-05-13%20(ML)%20Proposed%20Form%20RM-100%20Uniform%20Affiliation%20Agreement.docx\">Uniform Affiliation Agreement (DOCX)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/panthers.sharepoint.com\/:b:\/s\/USA\/EaU-IterlUhPlDG_Z922Z9oBhTnQTblF3yiXxKOkKRnVFQ?e=tW6pnz\">Caregiver Affiliation Agreement Addendum (PDF)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/panthers.sharepoint.com\/:b:\/s\/USA\/EagR4u2elhtAtqu7zfwhYpsB_voWDRQdZDmiCPOcxLZTVg?e=jIembs\" target=\"_blank\" rel=\"noreferrer noopener\">VA Affiliation Agreement (PDF)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/uwm.edu\/safety-assurances\/programs\/risk-management\/affiliations\/systemwide-affiliation-agreements\/\">Systemwide Affiliation Agreements<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/panthers.sharepoint.com\/:b:\/s\/USA\/EfzZP1LprnZLmKdwGCI4uJ0BnIPDrNhDqzBMjs14JS_clQ?e=OPza2k\" target=\"_blank\" rel=\"noreferrer noopener\">Affiliation Agreement Insurance Addendum (PDF)<\/a>&nbsp;(to replace insurance limits language)<\/li>\n\n\n\n<li><a href=\"https:\/\/panthers.sharepoint.com\/:b:\/s\/USA\/EdB7ukVRBb5GsCmI6ubYlRYB0ZEiS_8_LHzfiqgeMqrMDQ?e=XAVPdE\">Affiliation Agreement Checklist for Placement Coordinators (PDF)<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-useful-information\">Useful Information<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/panthers.sharepoint.com\/:w:\/s\/USA\/Ebk7rr3OE0NBg4bvVh7yBlwBvzCZqXWl-hsfXdrjOzF6yg?e=Bg2nDH\">List of UWM Clinical Placement Coordinators (DOCX)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/panthers.sharepoint.com\/:w:\/s\/USA\/EfLJLAx05TpMmePQADs-Hz4BXyFVpQuuUere9KeLAWF1Dw?e=awZCWs\">List of UWM Field Placement Coordinators (DOCX)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/panthers.sharepoint.com\/sites\/USA\/_layouts\/15\/guestaccess.aspx?guestaccesstoken=qu4z6RhyRti6F3fVi5I8L2L7kuCbAxfEFIupnfFyHKs%3d&amp;docid=0af59e0b781a64f688a3f5541389b2055&amp;rev=1\">Affiliation Agreement Definitions Page (PDF)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/panthers.sharepoint.com\/sites\/USA\/_layouts\/15\/guestaccess.aspx?guestaccesstoken=XnD%2btyxRC4zlR025XUp9tBrtyt7tBHOUo84EIFV1aok%3d&amp;docid=030d974316cf24423845ee13cd041b276&amp;rev=1\">A Memorandum to Students on Clinical or Field Education Programs (PDF)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/panthers.sharepoint.com\/:x:\/s\/USA\/EX6BTcs59cFNqkaZz0cCh9IBZ4d0RdjOFrq4R1GblA64LA?e=ytfQBv\">List of UWM Affiliation Agreements (XLS)<\/a><\/li>\n\n\n\n<li>Wisconsin Statutes\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/docs.legis.wisconsin.gov\/statutes\/statutes\/893\/viii\/82\">893.82<\/a>: Claims against state employees; notice of claim; limitation of damages<\/li>\n\n\n\n<li><a href=\"https:\/\/docs.legis.wisconsin.gov\/statutes\/statutes\/895\/i\/46\">895.46<\/a>: State and political subdivisions thereof to pay judgements taken against officers<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-student-caregiver-background-checks\">Student Caregiver Background Checks<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-background\">Background<\/h3>\n\n\n\n<p>Effective October 1, 1998, changes in Chapters 48 (Children\u2019s Code) and 50 (Uniform Licensure) of the&nbsp;<a href=\"http:\/\/docs.legis.wisconsin.gov\/statutes\">Wisconsin State Statutes<\/a>&nbsp;requires selected organizations to perform background checks of persons who provide care for vulnerable adults and children or who have access to people who receive such care.<\/p>\n\n\n\n<p>The results of these background checks are intended to help employers and government officials in making employment and licensing decisions. This law affects anyone who is employed as a caregiver or who has access to clients within caregiving organizations, including students. The organizations required to perform these background checks are those which are regulated by the&nbsp;<a href=\"https:\/\/www.dhs.wisconsin.gov\/\">Wisconsin Department of Health Services<\/a>&nbsp;(DHS).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-compliance\">Compliance<\/h3>\n\n\n\n<p>Each School and College is responsible for compliance with Chapter 48 and Chapter 50 of the Wisconsin State Statutes as they relate to the criminal background checks for caregivers.<\/p>\n\n\n\n<p>Please refer to the UWM Procedures for Compliance with the Wisconsin Caregiver Law for specific information on compliance.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-general\">General<\/h3>\n\n\n\n<p>The UWM Risk Management Office continues to manage all \u201c<a href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/affiliation_agreements\/2014-05-13%20(ML)%20Proposed%20Form%20RM-100%20Uniform%20Affiliation%20Agreement.docx\">Master Affiliation Agreements (DOCX)<\/a>\u201d with agencies that accept UWM students for field or clinical placements. If an agency requires special language in their affiliation agreement concerning caregiver background checks, the Risk Management Office, in collaboration with <a href=\"https:\/\/uwm.edu\/legal\/\">UWM Legal Affairs<\/a>, will work with the agency to ensure that the language of the affiliation agreement meets State and University requirements concerning liability issues.<\/p>\n\n\n\n<p>For a current synopsis of the law, see UWM Legal Affairs Website. A resource for frequently asked questions about the impact of caregiver background checks can be found on the&nbsp;<a href=\"https:\/\/www.dhs.wisconsin.gov\/caregiver\/index.htm\">Department of Health Services Caregiver Program<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-additional-resources\">Additional Resources<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/panthers.sharepoint.com\/:b:\/s\/USAWebID2.0Upgrade\/IQC0J_quXDH6RojNIq5KcpDuAYTwxWHvz42pilM1l-YKyes?e=jBMIpL\" target=\"_blank\" rel=\"noreferrer noopener\">Flow Chart (PDF)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/panthers.sharepoint.com\/:b:\/s\/USA\/EdB7ukVRBb5GsCmI6ubYlRYBuoo_WvahoMm6QA2SIbO6AQ\" target=\"_blank\" rel=\"noreferrer noopener\">Checklist (PDF)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.wisconsin.edu\/risk-management\/download\/risk_management_\/affiliation_agreements\/2014-05-13%20(ML)%20Proposed%20Form%20RM-100%20Uniform%20Affiliation%20Agreement.docx\" target=\"_blank\" rel=\"noreferrer noopener\">Agreement Template Form (DOCX)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/panthers.sharepoint.com\/sites\/USA\/_layouts\/15\/guestaccess.aspx?docid=0d7223ea595ab4f489431bf67ddb667da&amp;authkey=AccT5FRyPQx3CtoHnDk13L4\" target=\"_blank\" rel=\"noreferrer noopener\">Caregiver Affiliation Agreement (PDF)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/panthers.sharepoint.com\/sites\/USA\/_layouts\/15\/guestaccess.aspx?guestaccesstoken=HTb5B3jOwcXyWef7B3YlwgCF6u5NP0MJhSCSXVlYGFQ%3d&amp;docid=0f3c027740bd24d659336832bdc661307&amp;rev=1\" target=\"_blank\" rel=\"noreferrer noopener\">Insurance Addendum (DOCX)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/panthers.sharepoint.com\/:b:\/s\/USA\/ETF02TDybCNEhF7hPNBBsnYBD5LFts11u0vNPTeMod1kbg\" target=\"_blank\" rel=\"noreferrer noopener\">Memorandum to Field\/Clinical Students (PDF)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/panthers.sharepoint.com\/:w:\/s\/USA\/Ebk7rr3OE0NBg4bvVh7yBlwBvzCZqXWl-hsfXdrjOzF6yg?e=eUXn1n\" target=\"_blank\" rel=\"noreferrer noopener\">Clinical Placement Coordinator List (DOCX)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/panthers.sharepoint.com\/sites\/USA\/_layouts\/15\/guestaccess.aspx?guestaccesstoken=hj7AqtI3tFdsE2JpDczJb18kN7HJmbANIZeRHrX9g8E%3d&amp;docid=00c2cc9f2e5744c3a99e3d0003b3e1f3e&amp;rev=1\" target=\"_blank\" rel=\"noreferrer noopener\">Field Placement Coordinator List (DOCX)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/panthers.sharepoint.com\/:b:\/s\/USA\/EZQ7XEPYZ5NAqKtJ_fOsR3kBLUCuZ2zAkriXuYdrA6oFCQ?e=sSaHJK\">University of Wisconsin-Milwaukee Procedures for Compliance with the Wisconsin Caregiver Law (PDF)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/panthers.sharepoint.com\/:f:\/s\/USA\/IgATbQDfLrq_Q45ZSNIqX8SaARSBW7fbbERDxYMKFrAPOZk?e=411hY1\" target=\"_blank\" rel=\"noreferrer noopener\">Affiliation Agreements<\/a><\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"uwm-l-col uwm-l-col--4 uwm-l-offset--1\"><div class=\"content_block\" id=\"custom_post_widget-4090\"><nav aria-label=\"Sidebar\" class=\"uwm-p-navigation-list uwm-p-navigation-list--gold-border \"><div class=\"uwm-p-navigation-list--title\"><a href=\"https:\/\/uwm.edu\/safety-assurances\/programs\/risk-management\/\">Risk Management<\/a><\/div><ul><li><a href=\"https:\/\/uwm.edu\/safety-assurances\/programs\/risk-management\/insurance\/\">Insurance<\/a><\/li><li><a href=\"https:\/\/uwm.edu\/safety-assurances\/programs\/risk-management\/claims\/\">Claims<\/a><\/li><li><a class=\"current\" href=\"https:\/\/uwm.edu\/safety-assurances\/programs\/risk-management\/affiliations\/\"><span aria-current=\"page\">Affiliations<\/span><\/a><ul><li><a href=\"https:\/\/uwm.edu\/safety-assurances\/programs\/risk-management\/affiliations\/systemwide-affiliation-agreements\/\">Systemwide Affiliation Agreements<\/a><\/li><\/ul><\/li><li><a href=\"https:\/\/uwm.edu\/safety-assurances\/programs\/risk-management\/art-loans\/\">Art Loans<\/a><\/li><li><a href=\"https:\/\/uwm.edu\/safety-assurances\/programs\/risk-management\/camps\/\">Camps &amp; Clinics<\/a><\/li><li><a href=\"https:\/\/uwm.edu\/safety-assurances\/programs\/risk-management\/drivers\/\">Drivers<\/a><\/li><li><a href=\"https:\/\/uwm.edu\/safety-assurances\/programs\/risk-management\/resources\/\">Resources<\/a><\/li><\/ul><\/nav><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1592,"featured_media":0,"parent":257,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":"","uwm_wg_additional_authors":[1282,1523,1524]},"class_list":["post-1468","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Safety &amp; Assurances<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/uwm.edu\/safety-assurances\/programs\/risk-management\/affiliations\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Affiliations\" \/>\n<meta property=\"og:url\" content=\"https:\/\/uwm.edu\/safety-assurances\/programs\/risk-management\/affiliations\/\" \/>\n<meta property=\"og:site_name\" content=\"Safety &amp; 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