Safety Chat Sign-in SheetUse this handy form to record your site safety chats. This is a good way to help meet the requirements of the Injury and Illness Prevention Program recordkeeping requirements.
Certificate of Coverage RequestPlease find attached a request form for a Certificate of Coverage. Please fill out the form and send to the following: Cassandra Thompson-Jervis Fax: (909) 433-4785 Email: email@example.com. The certificate will be processed, the original mailed to the Certificate Holder and a copy will be sent to the requester.
Claim for Damages
Reimbursement ApplicationThe Reimbursement Application is to be used by member districts who are applying for Safety Credit reimbursemements.
Loss Damage ReportsThe Loss Damage Report form is used to report property loss or damage to property at a member district.
Vehicle Accident ReportIn the event of a district vehicle accident, please use the attached form for reporting the accident.
SCSRM Board Member Reimbursement FormThe Board of Directors may use the attached form in seeking reimbursement for expenses incurred while attending a conference or meeting.
Health & Fitness Mini Grant