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Environmental Health and Safety

Risk Management Forms

The following forms are required of state employee’s using state vehicles or their own personal vehicle when traveling on state business.

State Vehicle Driver Program Enrollment Form:
This form requires enrollment into the driver program and subsequent attendance at least once every four years.

State Vehicle Driver Program Enrollment Form.

Authorization To Use Privately Owned Vehicles On State Business- Form STD 261:
This form certifies that when the personal vehicle is used on state business the employee will be in possession of a valid driver’s license and proof of liability insurance amongst other requirements.

http://www.documents.dgs.ca.gov/osp/pdf/std261.pdf


Vehicle Accident Reporting Form for State Drivers: This form is used for reporting accidents in state or any vehicle when traveling on official business.

http://www.documents.dgs.ca.gov/osp/pdf/std270.pdf


Travel Expense Claim Form:
The Travel Expense Claim Form is used for reporting expenses incurred when traveling on official business.

http://www.documents.dgs.ca.gov/osp/pdf/std262.pdf


Class Schedules Defensive Driving Training:

https://www.training.dgs.ca.gov/


The CSU pamphlet containing guidelines on state and private vehicle use on business:

http://www.calstate.edu/HRAdm/Policies/csumv__policy_guideline.pdf


Department of General Services:

http://www.osp.dgs.ca.gov/default.htm


Defensive Driver Training Enrollment Form:

State driver training instruction requires enrollment. The enrollment form after completion should be faxed (3-3464) or sent to the CSLA campus driver training coordinator in the Administration Building Room 301.


Post Accident Procedures for State Drivers (Vehicle Accident Reporting):

This form contains post-accident procedures/information.



Review of State Driver Accidents (Form STD 274) (Supervisor Vehicle Accident Report):

Post-vehicle accident supervisor review. Supervisor completes form and submits to CSLA campus driver training coordinator within 48 hours.

The attached letter from the Office of Risk and Insurance Management (ORIM) is used to describe insurance coverage on state vehicles.


CSLA Site Visit Checklist – this form is typically used when initiating student off-campus placements.

Site Visit Checklist


For information on Student Field Trip and Travel Guidelines, Emergency Procedures Guidelines and the Field Trip Emergency Guideline Form click on the following link: http://www.calstatela.edu/univ/ehs/rm_travel.php

General Release Forms:

Individual General Release (pdf 73kb):this form is used for student and non-employee event participation for both on and off-campus events. College or department initiating use of this document should retain (for one year) the original and send copy/copies to the Office of Risk Management.


Class General Release (pdf 130 kb): this form can be used for student course-related field trips or mass travel-related activity. College or department initiating use of this document should retain (for one year) the original and send copy/copies to the Office of Risk Management.

Class General Release for Athletics this form is typically used by the Athletics Department when conducting off campus sports-related activities.


College of Arts and Letters report of injury forms. For more information on completion and distribution please contact the College of Arts and Letters at 323-343-4001.

Injury Report
Accident Report


Public Affairs – Photo release and student related film request forms; please contact the Public Affairs Office for additional information at 323-343-3050.

Film Request form - CSULA Student

Film Request Form - non-student

Photo Release

Photo Release (Spanish)

5151 State University Drive . Los Angeles . CA 90032 . (323) 343-3000
2013 Trustees of the California State University

Last Update: 01/28/2014