The safety and security of our students, employees, and visitors is one of the District’s highest priorities. Please report injuries and illnesses as soon as possible using the following forms and guidelines:
Injury or illness incidents involving students, visitors and vendors/contractors, should be reported using the District's TDX platform here: Non-Employee Illness/Injury Incident Report
For students requiring medical care as a result of inuries/accidents on campus, provide them with the Student Injury Claim Form after the incident has been reported. Please note both the student and College official must complete the forms. Send completed forms to the Risk Manager.
Work related injuries and illnesses involving employees, volunteers, student employees, and clinical nursing/medical assisting/dental assisting students should be reported to Michelle McKay, Benefits Analyst, Human Resources at 408-223-6713. Workers’ Compensation forms and additional information can be found at:
Safety concerns involving District property and facilities can be reported using the District's TDX platform here: Campus Safety Concerns Report
Personal Vehicle Use Form - This form should be filled out by any District employee using a personal vehicle for District business, including field trips, at least 3 days prior to use. Dean or other supervisor must sign as Site Administrator Approval.
Liability Certificate of Coverage Request - Use this form to request a Certificate of Insurance (COI) in connection with contracts, Memoranda of Understanding or other agreements.
Student Activity & Field Trip Waiver of Liability - This form should be filled out and signed by all students (and parents or guardians if students are minors) at least 3 days prior to their participation in school activities and field trips.
Waiver of Liability Agreement - Volunteer - Please have volunteers sign this form 3 days before the day of the event or activity. The event or activity coordinator should retain the Waiver for one year.
Injury & Illness Prevention Program - The Injury & Illness Prevention Program provides District employees with information to ensure a safe work environment.
Covid-19 Prevention Plan - The Covid-19 Prevention Plan provides District employees with information to ensure a safe work environment related to Covid-19.
AP 4300 Field Trips and Excursions
AP 6530 District Vehicles
NEWS/MEMO ARCHIVEGovernor EO N-6-22 (Russia Sanctions)