Forms

  • For best results, use the current version of Adobe Acrobat Reader.
  • Forms that are marked with a Y in the Fill column can be completed on-line through Adobe Acrobat Reader.
  • Users with Adobe 6.0 and above will need to change a setting before completing the forms so that the tabbing order works correctly. Open Adobe Acrobat, go to the tab on top labeled Edit, go to Preferences, and Accessibility. Make sure the box Use document structure for tab order when no explicit tab order is specified is not checked.
  • Select the appropriate form and click in the first text box to be completed.
  • Enter the required information and tab over or click on the next text box to continue completing the form.
  • Dates must be entered in the following format: mm/dd/yyyy.
  • When printing a form from Adobe Acrobat, the Page Scaling needs to be set to None. This can be found under File, Print, Page Handling Section. There will be a section called Page Scaling with drop down options. Please select None from those options. If any of the other options are selected, additional white space will be added to the margins of the form and the form will shrink.

Risk Management - Internal Form(s)

SFNTitleSizeDateFillable
50508 Risk Management Fund Incident Report 680 kb 07/16/2013
Y
50552 State Risk Management Fund Notice of Claim 196 kb 06/25/2012
Y
51301 Risk Management Fund Motor Vehicle Report 852 kb 07/16/2013
Y
52280 Risk Management Motor Vehicle Accident Review Board Report 46 kb 06/25/2012
Y
52376 Destruction Hold Notice 70 kb 06/25/2012
Y
53424 Risk Management Fund Contribution Discount Program Application 556 kb 10/23/2013
Y
53425 RMWCP Premium Reduction Program Application 367 kb 07/11/2013
Y
53601 Risk Management Medical Services Incident Report 1113 kb 06/25/2012
Y
53758 Designated Medical Provider 194 kb 06/10/2013
Y
58571 Application to Require a More Stringent Indemnification Provision 471 kb 07/11/2013
Y