North Coast Schools' Insurance Group (NCSIG)
Forms
Certificate of Coverage Request (Doc)
English
Claim Presented to School District (PDF)
English - Please print
both sides
First Aid Incident Form (PDF)
English
First Aid Program Guidelines (PDF)
English
JPA 1 - Field Trip/Excursion Waiver and Medical Authorization-Minor (PDF)
English — Spanish
JPA 1(A) - Field Trip/Excursion Form (PDF) English — Spanish
JPA 2 - Acknowledgment & Assumption of Potential Risk (PDF) English — Spanish
JPA 4 - Reimbursement Request
for Safety Credits (PDF) English
JPA 5 - Acknowledgment and Assumption of Potential Risk - Voluntary Sports Activity (PDF) English
JPA 6 - Acknowledgment & Assumption of Potential Risk - Voluntary Activity (minor) - (PDF)
English
JPA 6 (Non-Student) - Acknowledgment & Assumption of Potential Risk - Voluntary Activity (non-student) - (PDF)
English
JPA 14 - Field Trip Driver
Form (PDF)
English | Spanish
JPA 17 - Facility Request Between Member Districts (PDF)
English
JPA 19 - Playground Equipment (PDF)
English
JPA 21(A) - Student Excursion & Transportation by Non-District Sponsored Driver/Passenger Agreement - District Does Provide Transportation (PDF/Doc)
English - PDF | English - DOC
JPA 21(B) - Student Excursion & Transportation by Non-District Sponsored Driver/Passenger Agreement - District Does Not Provide Transportation (PDF/Doc)
English - PDF | English - DOC
JPA 24 - Physical Evaluation (PDF)
English | Spanish
JPA 25 - Post Head Injury/Concussion Initial Return to Participation (PDF)
English
JPA 26 - Homecoming Parade Driver Form (PDF)
English
JPA 27 - Periodic Playground Maintenance Safety Inspection Form(PDF)
English
Property Claim
Form (Doc)
English
Property Endorsement (PDF/Doc)
English - PDF | English - DOC
Student Incident Form (PDF)
English
Suspected Child Abulse Report & Instructions (Fillable PDF)
English
Vehicle Claim
Form (Doc)
English
Volunteer Registration Form (PDF)
English
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