Get Ucsc Volunteer Waiver And Election Of Workers' Compensation Coverage 2015

Filling out the UCSC Volunteer Waiver and Election of Workers' Compensation Coverage is an essential step for individuals volunteering at the University of California, Santa Cruz. This guide provides a clear and supportive walkthrough for successfully completing this form online.

Follow the steps to complete your form effectively.

1. Press the ‘Get Form’ button to access the document and open it in the editing tool.
2. In the first section, enter your full name in the designated field as listed: NAME OF VOLUNTEER.
3. Provide your date of birth in the specified format under the DATE OF BIRTH field.
4. Indicate your sex by selecting either 'M' for male or 'F' for female in the SEX section.
5. Fill in your home phone number in the provided HOME PHONE field.
6. Complete your home address in the HOME ADDRESS field to ensure proper identification.
7. State the UCSC sponsored program, event, or activity where you will provide your services in the designated space.
8. Indicate the UCSC department that you will be volunteering for in the respective section.
9. List the name of your UCSC supervisor and their phone number to finalize this section.
10. Read through the ELECTION OF REMEDY section carefully. This confirms your understanding of the coverage being elected under the University’s Workers' Compensation Program.
11. In the WAIVER, RELEASE & INDEMNITY section, ensure your comprehension and agreement by reading it thoroughly.
12. Acknowledge the reporting of injuries or illnesses section, which provides instructions on how to report such incidents during your volunteer service.
13. Sign and date the document in the designated area marked 'Signature of Volunteer' followed by the 'Signature of University Supervisor.'
14. Once all fields are completed, save your changes. You can then download, print, or share the form as necessary.

Complete the UCSC Volunteer Waiver and Election of Workers' Compensation Coverage online today!