Request for Operation: Outdoor Robot
Permission to operate an Outdoor Robot on University Property may be granted if the Approver (and Stanford Medicine Facilities if Outdoor Robot operation will operate on Stanford Medicine Property) determines that operation of the Outdoor Robot (i) is consistent with the University’s mission, (ii) does not violate any federal or state laws or regulations, (iii) is safe, (iv) does not compromise the privacy of individuals, and (v) does not interfere with education, research or other activities taking place on University Property.  

Either the Operator or the University department sponsoring operation of the Outdoor Robot on University Property must submit a request to operate an Outdoor Robot to Stanford Transportation. This request must include the information below, as well as a certificate of insurance evidencing the required insurance coverage emailed to transporation@stanford.edu.

A full copy of Stanford's Outdoor Robot Policy, including details on how requests to operate Outdoor Robots are evaluated, is available at transportation.stanford.edu/robotpolicy.
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a.  The Operator’s name and a description of the Operator’s business (if any). *
b.  The reason why the Operator wants to operate an Outdoor Robot on Stanford Property, including any revenue being generated for the Operator or anyone else by operation of the Outdoor Robot. *
c.  Where the Outdoor Robot will travel on Stanford Property, including where it will be stored when not in operation. *
d.  The operating schedule for the Outdoor Robot. *
e.  The ways in which operation of the Outdoor Robot furthers Stanford’s education, research or health care missions, and any other benefits to Stanford of allowing the Outdoor Robot to operate on Stanford Property. *
f.  Identification of all risks that operation of the Outdoor Robot poses to the University, the University community and/or the general public, including identification of any past collision, fire, food safety or other incidents.  Submissions should include mitigations incorporated into the design and operation of the Outdoor Robot to guard against these risks. *
h. In addition to submission of a certificate of insurance evidencing required insurance coverage, Operator should indicate willingness to add Stanford as an additional insured party under its policies, and willingness to indemnify Stanford against any claims or harm that arises out of operation of the robots. *
Required
i.  Any safety precautions being taken by the Operator to minimize the risk to the University, the University community and/or the general public, including to bikers, pedestrians, skateboarders and individuals with physical limitations. *
j.  Other relevant information, including at a minimum:  the Outdoor Robot’s operating system, the network to be used to operate the Outdoor Robot, any information to be collected by the Outdoor Robot, how the information collected will be used, how and where the information will be stored, and who has access to the information. *
k.  Description of potential privacy risks posed by operation of the Outdoor Robot and how they are being mitigated. *
l.  Identification of any pending legal claims, lawsuits, and/or enforcement actions from government regulatory bodies against the Operator. *
m.  Identification of any laws and regulations that apply to the operation of the Outdoor Robot other than those that apply to all businesses operating on Stanford Property. *
n. Name and email address of the individual completing this form. *
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