Risk Management

 

Forms, Brochures and Information for Athletes

  

Athletic Student and On-Campus Accidents, Procedures and Claims

On-Campus Accident Brochure, 2012/2013

On-Campus Accident Brochure, 2011/2012

2019-2020 Student Insurance Brochure

LACCD 2020-21 Student Insurance Brochure

LACCD 2020-21 Student Accident Claim Form

LACCD 2019-20 Student Accident Claim Form


2020-21 LACCD Accident Insurance Card.pdf2020-21 LACCD Accident Insurance Card


2020-21 LACCD Aerogami Flyer.pdf2020-21 LACCD Aerogami Flyer

2019-20 LACCD Keynect Up Flyer Student Insurance

How to get and use he digital ID card with an Android (e.g. LG or Samsung) 

  • Please download the Google Lens app

  • Scan the QR code on the brochure

  • You should be prompted to open and save the contact information in your device's Contacts

  • The ID card (in your Contacts) should have a link to ACI's claim filing instructions  

 

Athletic Waiver Form

 2013 Athletic Waiver Form (now one form for all campuses)
 

Authorization to Release Medical Information Forms

East LA College 

Pierce College

Southwest College

Trade-Technical College 

Valley College 

West LA College

  

General Property and Liability Documents and Forms

 

General Participant Waiver Form

 

This general waiver form for participants in LACCD/College events or activities is intented to be filled out for the appropriate event for which participation is sought. If you have any questions, please contact Sherri Beloney-Hatcher at the number (5213) 891-2330

LACCD Driver Data form

 
 
 
 
 
 
 
 
If you have questions, please contact:
Sherri Beloney-Hatcher
(213) 891-2330
BeloneS@email.laccd.edu
 
 
 

 

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