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Risk Management

Forms
Category Source Date
Aircraft/Pilots
 
Aircraft and Pilot Standards Agreement (doc)
 
  
 
Aircraft & Pilot Standards (doc) 125-7-301
  
 
4/93
Business Continuation Planning
 
Year 2000 Internal Threat Assessment (pdf)
 
Year 2000 External Threat Assessment (pdf)
 
Agency Summary of Business Continuation Planning (pdf)
 
Business Continuation Plan (pdf)
 
  
 
 
Taking Care of Business RisKey
 
Taking Care of Business RisKey
 
Taking Care of Business RisKey
 
Taking Care of Business RisKey		  
 
 
8/98
 
 
8/98
 
 
8/98
 
 
8/98
Claims
 
State Self-Insurance Claim Report Form (pdf)
 
  
 
Claims Management		  
 
Rev 5/02
Minors
 
Authorization for Emergency Medical Care (doc)
 
  
 
Risk Management Division
  
 
1994
State Property Coverage
 
Personal Property Coverage Agreement (doc)
 
  
 
Property Self-Insurance Policy Manual 125-7-101
  
 
Rev 4/04
Ride Along Programs
 
Sample Application (pdf)
 
 
Sample Release from Liability (pdf)
 
Sample Conditions and Disclosure of Risks (pdf)
 
  
 
Saddle Up RisKey
 
 
Saddle Up RisKey
 
 
Saddle Up RisKey
  
 
8/95 - Tailor to fit agency needs, obtain review by DOJ.
 
8/95 - Form approval received from DOJ.
 
8/95 - Tailor to fit agency needs, obtain review by DOJ.
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 Kit RisKey
 
Travel Kit RisKey		  
 
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
 
Driver Risk Indexing (doc)
 
 
Request to Use My Personal Vehicle on State Business (doc) - Sample Request Form
 
Vehicle Crash Checklist (doc)
 
  
 
VIPP Toolkit - Accident Reporting
 
 
 
 
 
 
 
 
 
 
 
VIPP Toolkit - Vehicle Incident Prevention
 
VIPP Toolkit - Special Driving Situations
 
 
VIPP Toolkit - Accident Reporting
 
  
 
 
 
 
 
Rev 06/01
 
Rev 07/04
 
Rev 06/01
Rev 07/04
 
 
 
12/01
 
 
Rev 10/01
 
 
 
07/04
Volunteer Insurance Coverage
 
Liability Coverage Only (doc)
 
 
Liability and Volunteer Injury Coverage (doc)
 
Liability and Workers´ Compensation Coverage (doc)
 
  
 
 
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 11/02.
 
1/95 - Form approval received from DOJ. Rev 11/02.
 
1/95 - Form approval received from DOJ. Rev 11/02.
 
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
 
Page updated: November 13, 2009

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