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Stacy Lane
Director, JPA Services
445-7055
slane@humboldt.k12.ca.us

Susan Bishop
JPA Secretary
445-7126
sbishop@humboldt.k12.ca.us

Kimberly Comet
Risk Manager
445-7067
kcomet@humboldt.k12.ca.us
North Coast Schools' Insurance Group (NCSIG)
Forms

Auxiliary/Foundation Organization Policy Application (PDF)

Certificate of Coverage Request (DOC)

Claim Presented to School District (PDF) - Please print both sides

JPA 1 - Field Trip/Excursion Waiver and Medical Authorization - Minor

JPA 1(A) - Field Trip/Excursion Waiver and Medical Authorization - Minor

JPA 1(B) - Field Trip/Excursion Form (PDF)

JPA 2 - Acknowledgement & Assumption of Potential Risk

JPA 4 - Reimbursement Request for Safety Credits (PDF)

JPA 5 - Acknowledgement and Assumption of Potential Risk (Multiple)

JPA 14 - Field Trip Driver Form (PDF)

JPA 19 - Playground Equipment (PDF)

JPA 24 - Physical Evaluation (PDF)

Property Claim Form (DOC)


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