Claims

     Form Completion Instructions (pdf)

     Claim for Damages Form

     Accident Incident - Schools Only (Word) (pdf)

     Auto Loss Notice (Word) (pdf)

     Incident Report (Word) (pdf)

     Property Loss Notice (Word) (pdf)

     WC Mileage Form 2017 (pdf) (Word)

     WC Mileage Form 2018

     Rejection of Timely Claim (Word)

     Rejection of Timely Claim with Proof (Word)

     Form 300 (Excel) (pdf)

     Time of Hire Pamphlet (pdf)  

     DWC Form (pdf)

     Form 5020 (pdf)

Loss Prevention

     School District Employee Training Matrix (pdf)

     Risk Management Accreditation Program (RMAP) (pdf)

     Loss Prevention Subsidy Fund (LPSF) request (pdf)

Member Services

     Volunteer Workers' Compensation Coverage - Information Page   

     Workers' Compensation Coverage for Unpaid Volunteers - Declination

     Workers' Compensation Resolution - Board Only - Sample

     Workers' Compensation Resolution - Board Only

     Workers' Compensation Resolution - Board and Volunteers - Sample

     Workers' Compensation Resolution - Board and Volunteers

     Workers' Compensation Resolution - Volunteers Only       

Miscellaneous

     Certificate Request (Word)

     Ergo Evaluation Request Form (Word) (pdf)    

     Member Expense Form 2017

     Member Expense Form 2018

     WC Volunteer Coverage Resolution (pdf)