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Forms
CategorySourceDate
Aircraft/Pilots
 
Aircraft and Pilot Standards Agreement (doc)
 
 
 
Aircraft & Pilot Standards (doc) 125-7-301
 
 
4/93
Claims
 
State Self-Insurance Claim Report Form (pdf)
 
 
 
Claims Management
 
 
Rev 9/11
Minors
 
Authorization for Emergency Medical Care (doc)
 
 
 
DAS Risk Management
 
 
1994
State Property Coverage
 
Personal Property Coverage Agreement (doc)
 
 
 
Property Self-Insurance Policy Manual 125-7-101
 
 
Rev 4/04
Risk Assessment
 
Contract Risk Assessment (doc)
 
Risk Assessment (doc)
 
 
Risk Assessment Roadmap Toolkit
 
Risk Assessment Roadmap Toolkit
 
 
 
Rev 12/04
 
 
Rev 12/04
Travel
 
Travel Itinerary (doc)
 
Health Emergency Information (doc)
 
 
 
Travel Toolkit
 
Travel Toolkit
 
 
Rev 12/01
 
Rev 12/01
Use of State Premises
 
State Premises Use Permit for Private or Nonprofit Entities (doc) - Model Use Permit
 
State Premises Use Permit for Public Bodies (doc) - Model Use Permit
 
 
 
Use of State Premises by Others RisKey
 
 
Use of State Premises by Others RisKey
 
 
Rev 5/04
 
 
 
Rev 5/04
Vehicles
 
Accident Report Packet for State Owned Vehicles
 
Vehicle Crash Checklist (doc)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
VIPP Toolkit - Special Driving Situations
 
 
VIPP Toolkit - Accident Reporting
 
 
 
 
 
 
 
Rev 06/01
 
Rev 07/04
 
Rev 06/01
Rev 06/28/11
 
 
 
 
 
 
 
Rev 10/01
 
 
 
07/04
Volunteer Insurance Coverage
 
Liability Coverage Only (pdf) 
 
Liability and Volunteer Injury Coverage (pdf) 
 
Liability and Workers´ Compensation Coverage (pdf) 
 
 
 
Volunteer Injury Coverages
125-7-204
 
Volunteer Injury Coverages
125-7-204
 
Volunteer Injury Coverages
125-7-204
 
 
 
1/95 - Form approval received from DOJ. Rev 12/10.
 
1/95 - Form approval received from DOJ. Rev 12/10.
 
1/95 - Form approval received from DOJ. Rev 12/10.
 
Wellness Programs
 
Sample Agreement for Participation in Activities (pdf)
 
 
 
Sample Fitness Room Use Agreement (pdf)
 
 
 
Sample Fitness Room Property Exhibit for Employee Personal Property (pdf)
 
 
 
Managing Fitness in Your Workspace RisKey
 
 
 
Managing Fitness in Your Workspace RisKey
 
 
 
Managing Fitness in Your Workspace RisKey
 
 
6/99 - Form approval received from DOJ. Tailor to fit agency needs, obtain agency review by DOJ.
 
6/99 - Form approval received from DOJ. Tailor to fit agency needs, obtain agency review by DOJ.
 
6/99