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DAF Home > DAF Forms > University Services > Safety & Risk Mgmt & Info Security

Safety and Risk Management Procedures and Forms

Risk Management  MS Word Files   MS Excel Files   PDF Files   Web Pages 
Air Travel Notification & Release and Hold Harmless Statement  MS Word Document      PDF Document    
Certificate of Insurance Request Form  MS Word Document      PDF Document    
Form 261: Authorization to Use Privately Owned Vehicles on State Business  MS Word Document      PDF Document    
Form 268: Accident Report (Non-Motor Vehicle)        PDF Document    
Form 270: Vehicle Accident Report        PDF Document    
Form 274: Supervisor's Review-Review of State Driver Accident        PDF Document    
General Release of All Claims Form  MS Word Document      PDF Document    
Informed Consent  MS Word Document      PDF Document    
Medical Disclosure and Assumption of Risk  MS Word Document      PDF Document    
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University Insurance  MS Word Files   MS Excel Files   PDF Files   Web Pages 
Business Property Insurance Request Form  MS Word Document      PDF Document    
CDC Traveler's Health Kit           Web Page 
Domestic Travel Participant List     MS Excel Document   PDF Document    
Fine Arts Coverage Request  MS Word Document      PDF Document    
Foreign Travel Liability Insurance Program Summary of Coverage        PDF Document   Web Page 
Foreign Travel Participant List  MS Word Document      PDF Document    
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Workers' Compensation  MS Word Files   MS Excel Files   PDF Files   Web Pages 
Accident Investigation Form  MS Word Document      PDF Document    
Authorization for medical treatment - Los Alamitos ER        PDF Document    
Authorization for medical treatment - Dr. Charles Maples  MS Word Document      PDF Document    
Authorization for medical treatment - Memorial Occupational Medical Services  MS Word Document      PDF Document    
CSU Questions and Answers on Workers' Compensation and Industrial Disability Leave  MS Word Document      PDF Document    
CSULB Return to Work Program           Web Page 
CSULB Workers' Compensation Guide for Managers and Supervisors           Web Page 
Notice of Personal Chiropractor or Personal Acupuncturist        PDF Document    
Predesignation of Personal Physician        PDF Document    
Privacy Log Election Form  MS Word Document      PDF Document    
Procedure for Managing Work-related Injuries or Illnesses        PDF Document    
Supervisor's Review Form  MS Word Document      PDF Document    
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Environmental/Occupational Health & Safety  MS Word Files   MS Excel Files   PDF Files   Web Pages 
After-Hours Release Procedures           Web Page 
Job Site Safety Analysis        PDF Document    
Sharps Injury Log  MS Word Document      PDF Document    
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Medical Monitoring Program  MS Word Files   MS Excel Files   PDF Files   Web Pages 

Bloodborne Pathogens - Post Exposure Declination Form

        PDF Document    

Occupational Questionnaire for Personnel Assigned to Laboratory Animal Facilities

        PDF Document    
Medical Examination Appointment Letter (SRMIS 001)        PDF Document    
Authorization to Release Medical Information (SRMIS 002)        PDF Document    
Authorization to Release Previous Medical Information (SRMIS 003)        PDF Document    
Health Status Medical Report (SRMIS 004)        PDF Document    
Employee Medical Examination Findings (SRMIS 005)        PDF Document    
Provider Examination Requests (SRMIS 006)        PDF Document    
Exit Examination Employee Declination (SRMIS 007)        PDF Document    
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If you have trouble accessing any of these documents, please contact the office whose form it is. For DAF office hours, locations and phone numbers, start here.