The forms marked in red are now simple online fillable forms. These are auto distributed via email to the Claims Administrator and JIF Administrator’s office. All other forms are fillable PDF files to download, complete and save.
- Incident Reporting Form
(All Claims) - Claim Transmittal Form
(Property, General, Auto & Educators Legal Liability Losses Claims) - SPELL JIF Cyber Incident Report Claim Form & Hotline (Cyber Liability Claim) Fillable Form
- Crime Loss Form (Crime Claim) Fillable Form
- Workers’ Compensation Transmittal Form
(Workers’ Compensation Claim) - Employee Report
(Workers’ Compensation Claim) - First Accident Report
“FAR” (Workers’ Compensation Claim) - Supervisor Report
(Workers’ Compensation Claim) - Employee Authorization for Medical Attention
Optional Form (Workers’ Compensation Claim) - Property Loss Claim Reporting Form Fillable Form
(Property Claim) - Liability & Auto Physical Damage Loss Claim Reporting Form
(General, Auto & Educators Legal Liability Losses Claims) - Tort Claim Action Checklist
(General, Auto & Educators Legal Liability Losses Claim) - Notice of Tort Claim Cover Letter (Word Doc)
(General, Auto & Educators Legal Liability Losses Claim) - Tort Claim Form (Word Doc)
(General, Auto & Educators Legal Liability Losses Claim) - Tort Transmittal Form
(General, Auto & Educators Legal Liability Losses Claim) - SPELL Mold Claim Report Form Fillable Form
(Pollution (Mold) Claim) - K-8 English 2022-23 Student Accident Form
- K-8 Spanish 2022-23 Student Accident Form
- K-12 English 2022-23 Student Accident Form
- K-12 Spanish 2022-23 Student Accident Form
(Student Accident Claim)
Get a sample Instructions Guide for Employees Reporting Injuries Sustained on the Job:
Click Here for a PDF Version
