Loss Control Evaluation
Evaluation Form
Criteria
Loss Control Forms
Employee Road Test Check Ride
Job Site Inspections Report
Monthly Parks Safety Guidelines
New Driver Orientation Checklist
Public Facilities Monthly Inspection
Quarterly Non-Public Building Safety Inspection
Risk Management Recognition Award and Entry Form
Risk Management Grant Application (but check out ONLINE option below!!)
Sample Hold Harmless – Contractor
Sample Hold Harmless – Lease
Sample Hold Harmless – Parades & Festivals
Sample Hold Harmless – Use of Facilities
Sample Participant Waivers
Sample Vehicle Inspection Checklist
Vaccination Declination Form
Weekly Playground Inspection Checklist
Claims Forms
To file a claim
Work Comp Wage Statement
Supervisor’s Investigation Report
Sewer Backup Forms:
- Sewer Backup – Customer Information (given to the customer after a SBU in order for them to understand what is expected of them in the cleanup and claims processes and for them to know what to expect from the City and MIRMA
- Sewer Backup – Member (for the Member to complete so we understand your response to the event, the history of the sewer line, and the history of your work on the sewer line)
- Sewer Backup – Member with STEP System (for the Member to complete so we understand your response to the event, the history of the sewer line, and the history of your work on the sewer line)
Proof of Insurance
Vehicle Insurance Cards for Fleet (for individual vehicles, print from Origami)
Certificate of Insurance Request Form
Police
2024 Police Model Policy (Word document)
Police Policies Test and Answers
Police Ride Alongs Whitepaper 2024
Human Resources
Sample Employment Application
MIRMA Model Personnel Policy (Revised 1/12/2023)
