Document Library

Document Library

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TitleSummaryCategoriesFile TypeLink
AED Policy & Liability Considerations for Schools

This AED Policy Memo provides guidance for school districts considering the placement of Automated External …

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Alternative Mandated Reporter Form

This form is used by school districts that choose to provide an alternative training program …

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Annual Audit Approval

This document outlines the annual financial audit approval process for Tuolumne JPA. It details the …

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Appliance Guidelines – Safe Use and Compliance

This document outlines Tuolumne JPA’s guidelines regarding personal appliances in classrooms and common areas. It …

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Athletic Insurance Certification Form

This Athletic Insurance Certification Form is required for students participating in school-sponsored athletic programs. Parents …

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Authorization & Waiver for Vehicle Repairs by Student Workers

This Authorization & Waiver Form allows student workers in the Automotive Repair Shop Class to …

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Authorization to Administer Hepatitis B Vaccine

This Hepatitis B Vaccine Authorization Form is used to document an employee’s vaccination history or …

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Building Add/Drop Form for Insured Properties

This Building Add/Drop Form is used by school districts to update their list of insured …

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Bumps or Blows to the Head Notification Form

This form is used to notify parents/guardians when a student sustains a head bump or …

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Bus Driver Training Participant Form

This form is required for individuals participating in bus driver training. It includes a medical …

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Bus/Vehicle Accident Report

This Bus/Vehicle Accident Report (Form 304 VA2) is used by school districts to document accidents …

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Bylaws – Tuolumne Joint Powers Authority

The Bylaws of the Tuolumne Joint Powers Authority (TJPA), approved on April 11, 2024, define …

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Certificate of Liability Coverage

This Certificate of Liability Coverage serves as proof of general liability, employment practices, educator’s legal …

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Charter School Underwriting Guidelines

This document outlines the eligibility criteria and coverage considerations for charter schools under the Tuolumne …

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Claim for Damages to Person or Property

This Claim for Damages Form is used to submit compensation requests for injuries, property damage, …

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Concealed Weapons Policy

The Tuolumne JPA Concealed Weapons Policy prohibits firearms, ammunition, and weapons on school grounds, even …

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Conference Guidelines

Employee Overnight Travel and Conference Lodging – Individual Sleeping Accommodations …

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Confidential School Incident Investigation Report

This Confidential School Incident Investigation Report (CSI) is used for documenting school-related incidents. It includes …

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Confidential Student Accident Reporting Policy

This document provides guidance on completing and managing student incident and accident reports. It outlines …

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Conflict of Interest Code Review 9-5-24

This document provides an overview of the Tuolumne Joint Powers Authority’s Conflict of Interest Code, …

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CPR Certification Guidelines

This document outlines the CPR certification requirements under California education regulations, including hands-on training components, …

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Decoration Safety Guidelines

A guide for teachers on decorating classrooms safely while minimizing fire hazards, trip risks, and …

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District Field Trip, Club and Event Guidelines

This document provides requirements for field trips, activities and club events.

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Driver’s License Status & Record Request Form

This Driver’s License Inquiry Form is used by school districts to request driver status and …

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Drones Policy & Safety Guidelines for School Districts

This Drones Policy Memo outlines the safe and responsible use of drones within school districts. …

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DWC 7 – Notice to Employees: Injuries Caused by Work

The DWC 7 – Notice to Employees is a legally required posting that informs workers …

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DWC-AD 10133.33 – Employee Job Duties Description

The DWC-AD 10133.33 – Description of Employee’s Job Duties form is required for return-to-work evaluations …

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DWC-AD 10133.35 – Notice of Offer of Regular, Modified, or Alternative Work

The DWC-AD 10133.35 form is a mandatory document issued by employers or claims administrators to …

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Employee-Supervisor Incident Report

The Employee-Supervisor Incident Report is a mandatory form for documenting workplace injuries, exposures, or safety …

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Employer’s First Report of Occupational Injury or Illness (Form 5020)

This Employer’s Report of Occupational Injury or Illness (Form 5020) is required under California law …

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Event Release & Liability Waiver Form

This Event Release & Liability Waiver Form is required for individuals voluntarily participating in a …

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Facilities Inspection Tool (FIT) Assessment Form

The Facilities Inspection Tool (FIT) is used to assess and document the condition of school …

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Facilities Use Application & Permit

This Facilities Use Application & Permit is required for individuals or organizations requesting to use …

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Field Trip Volunteer Waiver & Medical Authorization

This Field Trip Volunteer Waiver Form is required for volunteers participating in school-sponsored field trips. …

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Fingerprinting Requirements for Contractors

This form outlines the fingerprinting requirements for contractors working with school districts, as mandated by …

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Food Allergy Action Plan & Emergency Care Guide

This Food Allergy Action Plan provides emergency care instructions for students with severe food allergies. …

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General Liability Coverage Resolution for Volunteers

This Liability Resolution establishes General Liability coverage for approved school district volunteers while performing services …

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Healthy Schools Act (HSA) Pesticide Warning Sign

This HSA Warning Sign is required under the Healthy Schools Act (HSA) to inform staff, …

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Healthy Schools Act Compliance Packet

This Healthy Schools Act (HSA) Compliance Packet provides guidance for public K-12 schools and child …

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High-Risk Activity Waiver & Release Form

This High-Risk Activity Waiver & Release Form is required for students participating in voluntary school-sponsored …

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Indoor Air Quality Policy

This policy outlines best practices for maintaining healthy indoor air quality in Tuolumne JPA schools. …

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Instructions for Requesting Records

This document outlines the procedures for requesting public records from the Tuolumne Joint Powers Authority …

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Inventory of Employee Personal Property

This form is used by employees to document personal property brought onto school premises. It …

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Investment Policy Statement

The Tuolumne JPA Investment Policy Statement outlines the organization’s investment objectives, policies, and management strategies. …

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Liability Event Report

This Liability Event Report Form (Form 305 LIAB) is used by school districts to document …

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Limited Waiver of Medical Services for Diabetes Management

This Diabetes Waiver Form allows students with diabetes to independently monitor and manage their blood …

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Log for Reporting DWC-1 Forms

This Log for Reporting DWC-1 Forms is used by school districts to track and document …

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Medical Mileage Expense Reimbursement Form

The Medical Mileage Expense Reimbursement Form allows employees to request reimbursement for travel costs incurred …

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Medical Release Authorization Form

This Medical Release Authorization Form allows individuals to authorize the disclosure of medical records for …

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Member Alert – Mandated Duties

This document provides information for Mandated Reporting.

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MEMBER ALERT – SNAKE SAFETY

This document provides information on snake safety.

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Memorandum of Understanding – Facility Use by Other JPA Member

This Memorandum of Understanding establishes the conditions under which one Tuolumne JPA member district may …

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New Hire Checklist

This checklist outlines the required documentation and compliance steps for new employees joining the district. …

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Non-District Sponsored Activity Waiver & Release Form

This Non-District Sponsored Activity Waiver & Release Form is required for students participating in activities …

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Non-Student Participation in Voluntary Program Waiver

This Non-Student Participation in Voluntary Program Waiver is required for individuals who are not enrolled …

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Notice of Employee Death (DIA 510) – California Division of Workers’ Compensation

This Notice of Employee Death (DIA 510) is a mandatory reporting form for employers to …

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Parental Authorization to Administer Medicine

This Parental Authorization Form allows school personnel to administer medication to students as prescribed by …

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Physician Consent for Fit-for-Duty Test

This Physician Consent for Fit-for-Duty Test form is required for employees undergoing a WorkSTEPS® physical …

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Physician Consent to Perform Employment Test

This Physician Consent to Perform Employment Test form is used to authorize an employee or …

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Pre-Employment/Post Offer Medical Examination Policy

This document outlines the Tuolumne JPA’s policy on pre-employment and post-offer medical examinations. It details …

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Predesignation of Personal Physician – DWC Form 9783

The Predesignation of Personal Physician (DWC Form 9783) allows employees to choose their personal doctor …

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Prohibited Pesticides Policy

The Tuolumne Joint Powers Authority prohibits the use of herbicides containing glyphosate on JPA district …

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Property Loss Notice Report

This Property Loss Notice Report is used by school districts to report damage, theft, or …

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Public Records Request Form

This form allows individuals to request public records from the Tuolumne Joint Powers Authority. Requests …

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Rejection of a Timely Claim Template (Sample Letter)

This Rejection of a Timely Claim Notice is issued when a claim submitted to a …

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Report of Unsafe Condition or Hazard

This form allows employees to report unsafe conditions or hazards within the school district. Submissions …

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Request for Medication in School – Staff Administered

This Request for Medication in School Form allows school nurses or designated staff to administer …

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SAFETY CREDIT PROGRAM

The Safety Credit Program Reimbursement Request Form can be used for safety items.

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SB 848 – School and Classroom Furnishing Policy

School Facility and Classroom Furnishing Policy. Senate Bill 848 (2025) amended California Education Code section …

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School Sports Participation Waiver & Medical Authorization

This School Sports Participation Waiver is required for students participating in voluntary after-school sports programs. …

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Soccer Goal Safety Guidelines

This document outlines safety recommendations for managing moveable soccer goals, including proper storage, supervision, and …

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Structured Return to Work (SRTW) Guidelines

The Structured Return to Work (SRTW) Guidelines outline Tuolumne JPA’s commitment to helping temporarily disabled …

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Student Accident Coverage Claim Form

This Student Accident Coverage Claim Form allows parents/guardians to file a claim for medical expenses …

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Student Drop-Off Prior to School Waiver & Release

This Student Drop-Off Prior to School Waiver & Release is required for parents/guardians who choose …

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Student Field Trip Permission & Medical Waiver

This Student Field Trip Permission & Medical Waiver is required for students participating in district-sponsored …

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Student Participation & Waiver for Special Curriculum Program

This Student Waiver and Release Form is required for students enrolling in special curriculum programs …

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Student Transportation Authorization & Waiver Form

This Student Transportation Authorization & Waiver Form is required when students arrange their own transportation …

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Student Use Agreement for District Equipment

This agreement outlines the terms and responsibilities for students borrowing district-owned equipment, such as laptops, …

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Supervisor’s Report of Injury

The Supervisor’s Report of Injury is a mandatory form used to document workplace injuries, first …

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Swim Waiver, Release & Indemnity Agreement

This Swim Waiver & Release Form is required for students participating in school-sponsored swimming activities. …

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Temporary and Walk-On Coaches Guidelines

This document provides detailed requirements for temporary and walk-on coaches, outlining necessary certifications, background checks, …

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Temporary Modified Duty & Return-to-Work Program

The Temporary Modified Duty Program helps injured employees transition back to work while recovering. This …

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Time of Hire Pamphlet: Facts About Workers’ Compensation

The Time of Hire Pamphlet provides critical information on workers’ compensation rights and benefits for …

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Transportation Policy

The Tuolumne Joint Powers Authority (TJPA) Transportation Policy outlines essential procedures to ensure the safety …

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Transportation Waiver for Non-District Students

This Transportation Waiver, Release, and Assumption of Risk Form is required for non-district students riding …

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Tuolumne JPA Designated Facilities for Work-Related Injuries

This List of Designated Clinics & Physicians provides Tuolumne JPA employees with an approved network …

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Tuolumne JPA Protocol Committee Discussion

This document outlines key policies for Tuolumne JPA supervisors, including procedures for requesting inspections, reviewing …

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Use of Private Vehicle Request Form

This Use of Private Vehicle Request Form is required for school district employees and volunteers …

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Vehicle Lease Agreement

This fillable agreement outlines the terms and conditions for leasing or borrowing a district vehicle …

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Voluntary Excursion & Field Trip Permission Form

This Voluntary Excursion & Field Trip Permission Form is required for students participating in school-sponsored …

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Waiver of Liability Policy

This document details the Waiver of Liability Policy established by the Tuolumne Joint Powers Authority …

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Warrant Approval Process

This document outlines the process for approving warrants under the Tuolumne JPA Agreement and Bylaws. …

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Workers’ Compensation Claim Form (DWC 1)

The Workers’ Compensation Claim Form (DWC 1) is a standardized document used by employees to …

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WorkSTEPS Procedures

WorkSTEPS Procedures: New Employees (Post-Offer Pre-Employment Test) and WorkSTEPS Procedures: Fit for Duty / Return-to-Work Testing …

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WorkSTEPS™ Pre-Employment Testing by Appointment

The WorkSTEPS™ Pre-Employment Testing by Appointment form is required for employees undergoing physical capacity evaluations …

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