UCSC Volunteer Waiver and Election of Workers' Compensation Coverage 2017-2025 free printable template
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FILLABLE FORM UNIVERSITY OF CALIFORNIA SANTA CRUZ - UCSC VOLUNTEER WAIVER AND ELECTION OF WORKERS COMPENSATION COVERAGE To be used by persons providing volunteer services not related to employment 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...
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How to fill out UCSC Volunteer Waiver and Election of Workers' Compensation
01
Visit the UCSC website and locate the Volunteer Waiver and Election of Workers' Compensation form.
02
Download and print the form or fill it out digitally if the option is available.
03
Read the instructions carefully to understand the terms and conditions of volunteering.
04
Complete all required personal information, such as your name, contact details, and emergency contact.
05
Sign and date the form to indicate your agreement to the terms outlined.
06
If you are a minor, ensure that a parent or guardian also signs the form.
07
Submit the completed form to the appropriate UCSC department or volunteer coordinator as instructed.
Who needs UCSC Volunteer Waiver and Election of Workers' Compensation?
01
Any individual who intends to volunteer at UCSC and participate in volunteer activities.
02
Students, community members, and staff who plan to perform unpaid services for UCSC.
03
Individuals who are required to confirm their understanding of the rights related to workers' compensation while volunteering.
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What is UCSC Volunteer Waiver and Election of Workers' Compensation?
The UCSC Volunteer Waiver and Election of Workers' Compensation is a legal document that releases the University of California, Santa Cruz from liability related to volunteer activities and also establishes the volunteer's eligibility for workers' compensation benefits.
Who is required to file UCSC Volunteer Waiver and Election of Workers' Compensation?
All individuals who wish to volunteer for UCSC and want to ensure their eligibility for workers' compensation coverage while volunteering are required to file this waiver.
How to fill out UCSC Volunteer Waiver and Election of Workers' Compensation?
To fill out the UCSC Volunteer Waiver and Election of Workers' Compensation, individuals must complete the provided form with their personal information, details about their volunteer work, and sign to acknowledge their understanding and agreement to the terms.
What is the purpose of UCSC Volunteer Waiver and Election of Workers' Compensation?
The purpose of the UCSC Volunteer Waiver and Election of Workers' Compensation is to protect the university from liability while providing volunteers with the option to receive workers' compensation benefits for injuries sustained during their volunteer activities.
What information must be reported on UCSC Volunteer Waiver and Election of Workers' Compensation?
The information that must be reported includes the volunteer's name, contact information, emergency contact details, description of volunteer duties, and an acknowledgment of the waiver and election of coverage.
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