•   Login
  • Employment Opportunities
  • Who We Are
    • About MIRMA
    • Team
  • What We Offer
  • Membership
  • Contact

Forms

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
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 Inspection Checklist

Claims Forms
Notice of Occurrence
Report of Injury (WC claim form)
Work Comp Wage Statement
Supervisor’s Investigation Report
Sewer Backup – Customer Information

Proof of Insurance

Vehicle Insurance Cards FY2021

Vehicle Insurance Cards FY2020
Certificate of Insurance Request Form

Police Model Policies
2016 Police Model Policy (Word document)

Human Resources
Sample Employment Application
MIRMA Model Personnel Policy (FinalĀ 8/9/19)

Contact

3002 Falling Leaf Court
Columbia, MO 65201

Phone | 573.817.2554

Fax | 573.441.0515

info@mirma.org



3002 Falling Leaf Court
Columbia, MO 65201
573.817.2554
info@mirma.org

Who We Are
What We Offer
Membership
Contact

Member Login

© 2021 Mirma. All rights reserved. Creative by The Evoke Group