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CSJPA Important Forms
Comprehensive forms for your schools.
Property and Liability Forms
Protecting school employees is our priority.
Property
Auto Accident Report
Vacant Building Reg Form CSRM PR 103
New Building COPE Project Questionnaire Form
EDP Loss or Damage Report Form
Liability
Claim For Damages (Paper Dist)
Ergonomics Self Assessment
Certificate of Insurance Request
DMV Pull Request
CSRM Forms
Protecting school employees is our priority.
CSRM
CSRM Grant Application
CSRM Reimbursement Application
Workers' Compensation Forms
Protecting school employees is our priority.
Athens
Athens Mandatory Time of Hire Workers Comp Notice
Athens DWC-7 Bakersfield
Athens DWC-7 Los Angeles
Athens DWC-7 San Bernardino
Athens DWC-1
Athens MPN Notice (Eng)
Athens MPN Notice (Spa)
Athens RX Card (Eng)
Athens RX Card (Spa)
General
Declination of Treatment
Supervisor Report of Incident
Employee Report of Incident
Spanish - Employee Report of Incident
Occupational Clinic Survey
Information of Injured Workers
Kind Souls Foundation
Sedgwick
Sedgwick New Loss
Sedgwick DWC-7
Sedgwick DWC-1
Sedgwick Wellcomp
Sedgwick Wellcomp (Spanish)
COI and DMV Forms
Protecting school employees is our priority.
Certificate of Insurance
DMV Request
