Vacaville Unified School District

Gateway
General Information 2018-19 School Start Times Awards & Distinctions Office Hours and Schedules Survey: Be A Part of Our Start Time Discussion Vacaville, California
School Board Members Board Home Page Board Meeting Videos Board Policies
VUSD Schools Special Enrollment VUSD Programs School Boundary Maps
ALL Departments A-Z Business & Administrative Services Educational Services Facilities, Maintenance & Op. Human Resources Public Information Office Special Education Student Nutrition Student Services Superintendent's Office Technology
Community Bulletin Board After-School Enrichment Family Resources & Support Kindness & Respect At School Forms & Notices Parent Portal Suicide Prevention & Awareness Supports at School
Career & Technical Education Help & Support STUDENTS- Be The Change Super Saturday Help With Finding a Job
Measure A Project Updates

Forms Locker

PPT, Word, Excel Viewers [Go]
Acrobat Reader [Go]

Accident/Insurance

Student Accident and Property/Liability Reporting

Effective July 1, 2017, the district's property and liability insurance coverage is provided by Northern California Relief Joint Powers Association. To access current reporting forms, please use the table below and dispose of any older forms you may have for reporting to North Bay Schools Insurance Authority (NBSIA).

 

Please contact Administrative Services for assistance or to request copies of forms not available on the table below:

 

Form Name

(Completed by district

employees only)

Description of Report

(Please complete and return as soon as possible after the incident)

 

User

    

 

Email To

 

 

Student Accident/Injury Report

 

Reporting accidents or injuries involving students

(Please keep signed original and email a copy)

 

Site/Dept

 

Jenni Yarwood

 

 

Vehicle Accident Report 

 

Reporting accidents involving district owned vehicles

 

Site/Dept

 

Vicky Rasmussen

 

 

Incident Report 

 

Reporting accidents or injuries involving visitors, etc.

(Do not use to report student or employee injuries)

 

Site/Dept

 

 

Vicky Rasmussen

 

 

Property Loss Report 

 

Reporting loss or damage to district owned property or equipment

 

Site/Dept

 

 

Vicky Rasmussen