North Coast Schools' Insurance Group (NCSIG)
Forms
Auxiliary/Foundation
Organization Policy Application (PDF)
English
Certificate of Coverage Request (Doc)
English
Claim Presented to School District (PDF)
English - Please print
both sides
First Aid Incident Form (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 - Acknowledgement & Assumption of Potential Risk (PDF) English — Spanish
JPA 4 - Reimbursement Request
for Safety Credits (PDF) English
JPA 5 - Acknowledgement and Assumption of Potential Risk - Voluntary Sports Activity (PDF) English — Spanish
JPA 6 - Acknowledgement & Assumption of Potential Risk - Voluntary Activity (non-student) - (PDF)
English
JPA 14 - Field Trip Driver
Form (PDF) English — Spanish
JPA 19 - Playground Equipment (PDF)
English
JPA 21 - Student Excursion & Transportation by Non-District Sponsored Driver/Passenger Agreement (PDF)
English
JPA 24 - Physical Evaluation (PDF)
English — Spanish
Property Claim
Form (Doc)
English
Property Endorsement (PDF/Doc)
English - PDF — English - DOC
Student Incident Form (PDF)
English
Vehicle Claim
Form (Doc)
English
Vehicle Request (PDF/Doc)
English - PDF — English - DOC
Volunteer Registration Form (PDF)
English
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