Golden State Risk Management Authority (GSRMA) provides small to medium sized public entities in California a solution to their insurance and risk management needs.
Larger California public entities like counties, cities and school districts have a dedicated staff of risk managers, legal counsel, claims specialists and loss prevention experts to administrate their insurance and risk management programs.
Smaller entities including rural counties, smaller municipalities, schools and special districts often do not have the budgets to support some or all of these staff positions.
GSRMA provides its member entities with the same level of support, knowledge and sophistication that larger districts enjoy and we do so at a lower cost than members were paying for their insurance coverage alone with their previous carrier.
Welcome to a Unique Risk Management Option
At GSRMA we:
- Provide members with the tools, resources and training to help protect their employees and their property from harm.
- Provide members the best, most comprehensive coverage available for when a loss does occur.
- Provide all services in the most efficient and cost-effective manner possible to keep rates as low as possible.
- Embrace the philosophy that GSRMA exists for the benefit of its members.
If you are not satisfied with the quality or cost of your current coverage, let’s talk. We are the answer to over 320 California public entities risk pooling needs. We could be the answer for your entity.
Services Available to GSRMA Member Agencies at No Cost
GSRMA Calendar
| Date | Time | Event | Location |
|---|---|---|---|
| November 28 & 29 | 8AM-5PM | Office Closure – Holiday | GSRMA Office |
| December 24 & 25 | 8AM-5PM | Office Closure – Holiday | GSRMA Office |
| December 31, 2024 | 8AM-5PM | Office Closure – Holiday | GSRMA Office |
| January 1st, 2025 | 8AM-5PM | Office Closure – Holiday | GSRMA Office |
Note: All GSRMA Board meetings are held at the GSRMA conference room at 243 W. Sycamore Street, Willows, CA.
Training Calendar
As a GSRMA Member, your training options are many. From inviting our Loss Prevention staff on-site to facilitating on-line training on timely topics, we take great pride in offering an array of options to meet your needs. Examples of class offerings are: Ergonomics, Defensive Driving, and Board Etiquette.
Classes such as Fire Extinguisher training, Heat Illness Prevention, Distracted Driving are a phone call (or e-mail) away. If the training you seek is beyond our offerings, we encourage you to apply for our Loss Prevention Subsidy Fund. Each year, up to $1,000 per member is to reimburse training costs and expenses.
| Date | Time | Event | Location | REGISTER |
|---|---|---|---|---|
| December 11th, 2024 | 10AM – 11AM | PRISM – OSHA Form 300, 300A, Serious Injury Reporting | Zoom | Register Here |
| December 18th, 2024 | 10AM – 11AM | Streamline & GSRMA – Your Guide to ADA-Compliant Websites: Tips & Best Practices | Zoom | Register Here |
| January 22nd, 2025 | 10AM – 11AM | Topic TBA | Zoom | Coming Soon |
Contact our Events Team for more information regarding events and training opportunities.
Claim Forms
| Claims | Download |
|---|---|
| Form Completion Instructions | Download Form Instructions |
| Claim for Damages | Download Claim Damages Form |
| Accident Incident – Schools Only | Download Accident Incident Form |
| Auto Loss Notice | Download Auto Loss Notice Form |
| Incident Report | Download Incident Report Form |
| Property Loss Notice | Download Property Loss Notice Form |
| WC Mileage Form 2023 July 1-Dec 31 | Download WC Mileage Form 2023 July 1-Dec 31 |
| WC Mileage Form 2024 | Download WC Mileage Form 2024 |
| Rejection of Timely Claim | Download Rejection of Timely Claim Form |
| Rejection of Timely Claim with Proof | Download Rejection of Timely Claim with Proof Form |
| OSHA Form 300 | Download OSHA Form 300 |
| OSHA Form 300A, 301 | Download OSHA Form 300A, 301 |
| Time of Hire Pamphlet | Download Time of Hire Pamphlet |
| DWC Form | Download DWC Form |
| Form 5020 | Download Form 5020 |
Loss Prevention Forms
| Loss Prevention | Download |
|---|---|
| School District Employee Training Matrix | Download School District Employee Training Matrix |
| Risk Management Accreditation Program (RMAP) | Download Risk Management Accreditation Program (RMAP) Form |
| Loss Prevention Subsidy Fund (LPSF) request | Download Loss Prevention Subsidy Fund (LPSF) request |
Member Services Forms
| Member Services | Download |
|---|---|
| Volunteer Workers’ Compensation Coverage – Information Page | Download Volunteer Workers’ Compensation Coverage – Information Page |
| Workers’ Compensation Coverage for Unpaid Volunteers – Declination | Download Workers’ Compensation Coverage for Unpaid Volunteers – Declination |
| Workers’ Compensation Resolution – Board Only – Sample | Download Workers’ Compensation Resolution – Board Only – Sample |
| Workers’ Compensation Resolution – Board Only | Download Workers’ Compensation Resolution – Board Only |
| Workers’ Compensation Resolution – Board and Volunteers – Sample | Download Workers’ Compensation Resolution – Board and Volunteers – Sample |
| Workers’ Compensation Resolution – Board and Volunteers | Download Workers’ Compensation Resolution – Board and Volunteers |
| Workers’ Compensation Resolution – Volunteers Only – Sample | Download Workers’ Compensation Resolution – Volunteers Only – Sample |
| Workers’ Compensation Resolution – Volunteers Only | Download Workers’ Compensation Resolution – Volunteers Only |
Miscellaneous Forms
| Loss Prevention | Download |
|---|---|
| Certificate Request | Download Certificate Request |
| Ergo Evaluation Request Form | Download Ergo Evaluation Request Form |
| Member Expense Form July 1 – Dec 31 2023 | Download Member Expense Form 2023 |
| Member Expense Form 2024 | Download Member Expense Form 2024 |
Miscellaneous Resources
| Loss Prevention | Download |
|---|---|
| Insurance Requirements in Contracts(IRIC) | Download IRIC |