Forms

A list of all the available Risk Management forms.

Accident Forms

• Equipment or Vehicle Accident Report Form (PDF)
• Student Accident Report (PDF)
• Visitor Accident Investigation Form (PDF)
• Workers' Compensation Fraud Report (PDF)

Employee Injury/Worker's Compensation Forms

•  Notice of Accident or Occupational Disease Disablement (Notificacion de Accidente o Enfermedad de Oficio) (English/Spanish)(PDF)
• In Case of Work Place Injury (English)(PDF)
• In Case of Work Place Injury (Spanish)(PDF)
• Return to Work Policy (English)(PDF)
• Return to Work Policy (Spanish)(PDF)
• Concentra Locations (English)(PDF)
• Concentra Transportation (English) (PDF) Initial Visit Only

Insurance Forms

• Property Loss Report (PDF)
• Student Accident Insurance Application and Waiver Form  (PDF)
• Student Insurance - Accident and Health Coverage Program (PDF)
• Student Accident Health and Athletics Insurance Coverage (Spanish) (PDF)
• Student Insurance Claim Form (108 PPO) (PDF)
• TORT Claim Form (PDF)

Travel Forms

• Notification of Responsibilities and Liabilities When Transporting Students (PDF)
• Notification de Obligaciones y Responsabilidad Civil en el Transporte de Estudiantes (PDF)
• Permission to Participate (Authorization for Medical Services) (PDF)
• Permission to Participate (Authorization for Medical Services) Spanish (PDF)
• Field Trip Request 2024-2025 (PDF)
• APS Field Trip Request Guidelines (PDF)
• Request for Field Trip Form

This page was last updated on: November 18, 2010.