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

Risk Management MS Word Files MS Excel Files PDF Files
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 
General Release of All Claims with Air and/or Ground Transportation        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
Business Property Insurance Request Form  MS Word Document      PDF Document 
Domestic Travel Participant List     MS Excel Document   PDF Document 
Fine Arts Coverage Request  MS Word Document      PDF Document 
Foreign Travel Participant List  MS Word Document      PDF Document 
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Workers' Compensation MS Word Files MS Excel Files PDF Files
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 Q&A on Workers' Compensation and Industrial Disability Leave  MS Word Document      PDF Document 
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  MS Word Document      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
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
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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