Safety, Risk, and Sustainability (SRS)

Alcohol Approval Form
Please send fully completed Adobe-signed documents to risk@csumb.edu.
Alcohol Approval Form PDF Fill-In

Animals on Campus Risk Assessment
Animals on Campus Risk Assessment

Catering Exemption Request (CER) Form
Catering Exemption Request (CER) Form

Certificate of Insurance (CoI)
Certificate of Insurance

Decoration Safety
Halloween Decoration Safety
Winter Holiday Decoration Safety

Driver Safety Program
Vehicle accident reporting forms and procedures
Form STD 269 , Vehicle Accident Report
Form STD 270 , Report of Vehicle Accident
Form STD 274 , Supervisors Review of Accident

Authorized Defensive Driver Forms and List
Authorized Drivers List (updated monthly)
Form INF 1101 , Authorization for Release of Driver Record Information
Registration Form
Form STD 261 , Authorization to Use Privately Owned Vehicle on State BusinessVolunteer/Person of Interest: Required if you are: a student/staff volunteer, Corporation, Otter Student Union, or other Auxiliary employee.

EHSRM Feedback Survey
EHSRM Feedback Survey

Food Safety and Service
Food Safety and Service

General Photography, Visual Image Release: Minor and Adult
General Photography, Visual Image Release: Minor and Adult

Incident/Accident Report (Student/Other)
Incident/Accident Report (Student/Other)

International Travel Insurance
International Travel Insurance Application
Employee Travel Companion Agreement

Medical Consent
Medical Consent Form (PDF)

Release of Liability/Waiver Release
Release of Liability/Waiver Release with Photo Release

Releases must be stored for at least three years after an activity ends. Documents signed by a parent or guardian on behalf of a minor must be retained for at least three years after an activity ends or until the minor turns twenty, whichever is longer. Departments or units who sponsor an activity requiring a release should store the release by activity date in alphabetical order by participant name. Doing so greatly expedites retrieval if a release is needed for a legal proceeding. If space becomes a problem, releases can be microfilmed or stored electronically in lieu of the signed original.

You must also have a Release of Liability/Waiver Release (DOC) for each participant; to be carried with the MPP/Supervisor on the date of the event.

CIN ARTS: Please verify with your Department if you are required to have a SARA Form
Demonstrator Release of Liability
Performer Release of Liability- Adult
Performer Release of Liability- Minor

Executive Order 1031, Systemwide Records/Information Retention and Disposition Schedules addresses the campus's responsibility to ensure compliance with legal and regulatory requirements while requiring implementation of appropriate operational best practices.

Request for EHSRM Approval to Purchase Restricted Chemical or Equipment
Request for EHSRM Approval to Purchase Restricted Chemical or Equipment

Site & Activities Risk Assessment (SARA) Form: Film Project Pre-Planning QuestionsSARA Form with COVID Information

Student Field Trip Procedures
Student Field Trip Procedures (PDF)

Suspected Child Abuse Report Form
Suspected Child Abuse Report Form BCIA 8572

Youth Protection
Authorized Visitors Form
Authorization for Minor to Drive a Personal Vehicle
Authorization of Transportation and Supervision of a Minor
Authorization of Transportation of a Minor
Buddy Program Sign-in and Out Log Sheet
Campus Day Visit Agreement
Check-in/out Overnight Program Log Sheet
Hygiene Schedule Supervision
Hygiene Schedule/Supervision- Excel version
Medical Treatment Consent Form
Participant Program List
Participant Registration Form
Participants Sign-in/out Daily Log Sheet
Program Checklist
Registration Approval Form
Program Staff Directory
SumTotal Course Search
Virtual Conduct Expectations
Virtual Conduct Expectations- Word Version