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Risk ManagementForms

Forms

 

During Shelter-in-Place: Email completed forms to risk@fhda.edu.

Returning to Campus: Forms may be sent to risk@fhda.edu (preferred) or sent via interoffice mail to the attention of Risk Management.

 

FORM TITLE PURPOSE
DMV Driver Record Release Only Employees and Volunteers of Record who have been cleared through Risk Management are authorized to drive District vehicles. Complete DMV form INF 1101 for authorization to drive a District vehicle, including Electric Carts, Gators, and similar types of vehicles.
Ergonomic Evaluation Request For ergonomic evaluations and minor workstation adjustments.
Insurance Certificates To request an insurance certificate for proof of coverage.
Safety Issue Report To facilitate the reporting of hazards.
Student Fieldtrip/Excursion Request Form To assure insurance coverage for staff, students and the District for proposed travels as a college sponsored activity.
Student Fieldtrip/Excursion Charter Complete this form as requested.
Student Fieldtrip/Excursion - Minor Authorization The Minor Authorization Release is for students under 18 years of age and must be completed and on file prior to the field trip/excursion.
Voluntary Assumption of Risk The assumption of risk and release of liability must be completed by the student and on file prior to the field trip/excursion.
Volunteer of Record Volunteers must be approved prior to start of service; volunteers can assist, but may not take the place of a faculty, staff, or union position.

COVID-19 Interim Process: The Volunteer-of-Record (VOR) Program is SUSPENDED until the Shelter-in-Place order is lifted.  During this time Risk Management will approve VOR forms BY EXCEPTION ONLY as approved by the College Vice President of Administration.