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Forms

To view or download these forms, click on the appropriate link below.

Accident/Injury Reports

Safety Incident Report Form
Please use this form to report a potential hazard or an injury to a College student, employee or visitor.

Supervisors Investigation of Accident Report
Supervisors must complete this report when an employee is injured.

Workers Compensation/Health Care

Employee Acknowledgement of the Alliance Program (English)

Employee Acknowledgement of the Alliance Program (Spanish)
Employees should use this form to acknowledge (in English or Spanish) that they understand how to get healthcare under San Jac’s workers compensation coverage.

Vehicles/Travel

Request to Drive a College Vehicle
Use this form to request approval to drive College-owned vehicles.

Forms

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