{"id":6082,"date":"2024-12-13T12:02:29","date_gmt":"2024-12-13T20:02:29","guid":{"rendered":"https:\/\/www.palomar.edu\/facilities\/?page_id=6082"},"modified":"2025-11-18T23:19:22","modified_gmt":"2025-11-18T23:19:22","slug":"risk-mangement-forms","status":"publish","type":"page","link":"https:\/\/www.palomar.edu\/ehs\/ehs\/risk-management\/risk-mangement-forms\/","title":{"rendered":"RISK MANGEMENT FORMS"},"content":{"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading has-text-align-center\">GENERAL<\/h2>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading has-text-align-center\">STUDENTS<\/h2>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<ul class=\"wp-block-list\">\n<li><strong><a href=\"https:\/\/www.palomar.edu\/ehs\/wp-content\/uploads\/sites\/298\/2022\/08\/Certificate-Of-Insurance-Requirements.pdf\">Certificate of Insurance Requirements<\/a><\/strong><\/li>\n\n\n\n<li><strong><a href=\"https:\/\/www.palomar.edu\/ehs\/wp-content\/uploads\/sites\/298\/2025\/11\/Medical-Injury-Report_updated.2024.pdf\">Medical Injury Report <\/a>(Student or Employee)<\/strong><br>*<strong>Students<\/strong>: if medical attention is sought, also complete <em>Student\/Athlete Accident Insurance Claim form<\/em> listed to the right on this page.<br>**<strong>Employees<\/strong>: if injured or ill while on the job, complete the Workers&#8217; Compensation <a href=\"https:\/\/nam02.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fna2.documents.adobe.com%2Fpublic%2FesignWidget%3Fwid%3DCBFCIBAA3AAABLblqZhBst0b5PP8j_JXgUiLN6RFHzVzqQPefccQTYhlx812CV_YdwcEj9oMZQ-I3lueJq90*&amp;data=05%7C02%7Cmdelatorre%40palomar.edu%7C37d4af69f97a4339f9d208dc33253fc4%7Cdfa178eb10ca40c09667f4732f3381fe%7C0%7C0%7C638441482303919785%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&amp;sdata=TVxLyvAnhYwu7rL8xYSw9o74gHW20C4IpVQLDcOR8hI%3D&amp;reserved=0\">Claim Packet<\/a>.<\/li>\n\n\n\n<li><strong><a href=\"https:\/\/www.palomar.edu\/ehs\/wp-content\/uploads\/sites\/298\/2022\/06\/Property-Liability-Clams-Form.pdf\">Property &amp; Liability Claims Form<\/a><\/strong> (District damage or loss, complete page 3. Personal damage or loss, complete page 2).<\/li>\n\n\n\n<li><a href=\"https:\/\/www.palomar.edu\/ehs\/wp-content\/uploads\/sites\/298\/2025\/08\/2.B.WAIVER-of-Liability-Release-form.01.2025-1.pdf\">Waiver of Liability, Release &amp; Indemnity Agreement<\/a> (Assumption of Risk\/Medical Release Agreement)<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<ul class=\"wp-block-list\">\n<li><strong>*<\/strong><a href=\"https:\/\/www.palomar.edu\/ehs\/wp-content\/uploads\/sites\/298\/2025\/08\/AG-How-to-File-a-Claim.-Benefits-Highlight.pdf\">Student\/Athlete Accident Insurance Benefits Highlight &amp; Claim Form<\/a>\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/studentinsuranceusa.com\/school\/palomar-community-college-district\/college-mandatory-accident-plan\/\">Student-Athlete Accident Insurance Plan<\/a><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong><a href=\"https:\/\/www.palomar.edu\/ehs\/wp-content\/uploads\/sites\/298\/2025\/07\/2.A.STU_.Release-Agreement-to-Hold-Harmless-and-Indemnify.2024.pdf\">Student Release &amp; Agreement to Hold Harmless and Indemnify<\/a><\/strong> (Palomar student to complete when participating in a course field trip, an off-campus field trip, conference, or study abroad trip.)<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>GENERAL STUDENTS<\/p>\n","protected":false},"author":11394,"featured_media":0,"parent":2580,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-6082","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.palomar.edu\/ehs\/wp-json\/wp\/v2\/pages\/6082","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.palomar.edu\/ehs\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.palomar.edu\/ehs\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.palomar.edu\/ehs\/wp-json\/wp\/v2\/users\/11394"}],"replies":[{"embeddable":true,"href":"https:\/\/www.palomar.edu\/ehs\/wp-json\/wp\/v2\/comments?post=6082"}],"version-history":[{"count":9,"href":"https:\/\/www.palomar.edu\/ehs\/wp-json\/wp\/v2\/pages\/6082\/revisions"}],"predecessor-version":[{"id":10009,"href":"https:\/\/www.palomar.edu\/ehs\/wp-json\/wp\/v2\/pages\/6082\/revisions\/10009"}],"up":[{"embeddable":true,"href":"https:\/\/www.palomar.edu\/ehs\/wp-json\/wp\/v2\/pages\/2580"}],"wp:attachment":[{"href":"https:\/\/www.palomar.edu\/ehs\/wp-json\/wp\/v2\/media?parent=6082"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}