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  • Ucsc Volunteer Waiver And Election Of Workers' Compensation Coverage 2017

Get Ucsc Volunteer Waiver And Election Of Workers' Compensation Coverage 2017-2026

Loyment duties and without compensation for the benefit of the university) Email copy to the Workers’ Compensation Office in Risk Services at incident@ucsc.edu Name of Volunteer (Please type or print): Home Phone: Home Address: UCSC Sponsored Program/Event/Activity in which volunteer’s services will be provided: Volunteer Appointment Begins on: Ends on: (Month/day/year) (Month/day/year) (Cannot be indefinite) UCSC Department for which Volunteer Services will be provided: Name of Voluntee.

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How to fill out the UCSC Volunteer Waiver and Election of Workers' Compensation Coverage online

This guide provides clear and supportive instructions on how to complete the UCSC Volunteer Waiver and Election of Workers' Compensation Coverage form online. Whether you are a first-time volunteer or familiar with similar forms, this step-by-step approach will help ensure you accurately fill out the document.

Follow the steps to successfully complete the form

  1. Click 'Get Form' button to access the form and open it in the online editor.
  2. In the 'Name of Volunteer' field, please type or print your full name clearly to ensure proper identification.
  3. Provide your 'Home Phone' number in the designated field to facilitate communication if necessary.
  4. Enter your 'Home Address,' ensuring that the details are accurate for documentation purposes.
  5. Identify the 'UCSC Sponsored Program/Event/Activity' where your volunteer services will be provided by filling in the relevant description.
  6. Indicate the 'Volunteer Appointment Begins on' date by selecting or typing the appropriate month, day, and year.
  7. Specify the end date for your volunteer appointment in the 'Ends on' section, ensuring it is not indefinite and follows the same date format.
  8. Fill in the 'UCSC Department for which Volunteer Services will be provided' to designate the area you will be assisting.
  9. Input the 'Name of Volunteer’s Supervisor'—the UCSC employee overseeing your volunteer work—to maintain a proper chain of responsibility.
  10. Provide the supervisor's 'Phone' number for any necessary follow-up regarding your volunteer service.
  11. Carefully read through the 'Election of Remedy' section and confirm your understanding and agreement by signing in the 'Signature of Volunteer' field.
  12. Date your signature in the 'Date' field to document when you completed the form.
  13. Secure your supervisor’s signature and date on the respective fields to finalize the approval of your volunteer service.
  14. Once all fields are accurately filled, you can save the changes made, and decide to download, print, or share the completed form as needed.

Complete the UCSC Volunteer Waiver and Election of Workers' Compensation Coverage form online to ensure your volunteer service is covered and properly documented.

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