Risk Management
Corner
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Forms

Risk Management

  1. Vehicle Accident Report: STD 270
  2. State Driver Accident Report: STD 274
  3. Authorization to Use Privately Owned Vehicles on State Business: STD 261
  4. Agency Request for Driver License Record Information: INF 254
  5. Employee/Volunteer Injury/Illness Report
  6. Student/Visitor Injury/Illness Report
  7. Campus Safety Report
  8. Campus Violence Incident Report
  9. Request for Foreign Travel Liability Insurance
  10. Request for a Certificate of Insurance or Endorsement
  11. CSU Consent Form
  12. Facilities Use Waiver

 

 

Workers' Compensation

  1. Employee/Volunteer Injury/Illness Report
  2. Employee’s Claim for Workers’ Compensation Benefits (DWC-1)
    - Informed Filler
    - PDF
  3. Medical Service Order
    - St. Jude (Map)
    - Saddleback (Map)
  4. Physician Pre-Designation
  5. Notice of Personal Chiropractor or Personal Acupuncturist
  6. Medical Mileage Reimbursement
  7. Departmental W.C. Posting Notice – Fullerton
  8. Departmental W.C. Posting Notice – El Toro

Complaints, Summons and Requests for Information

  1. Request for Legal Representation from the CSU

Whistleblower and Whistleblower Retaliation

  1. EO 929 Complaint Form
  2. EO 822 Complaint Form

Volunteers

  1. Volunteer Identification Form
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