When responding to an emergency or accident, please follow the process outlined in the 01.21.22 memo:
- Always deal with the emergency or accident first
- When time permits, use the insurance form, located in the file cabinet labeled “insurance forms” and fill out the required information.
- Notify the facility manager and appropriate staff.
- Notify Amy with the reported information so that it can be submitted by Amy online to VLCT.
The forms below are provided as a resource for understanding more about the process to respond to an incident, and to provide examples of the insurance forms that are submitted. In an emergency situation, these forms do not need to be completed by staff, beyond the information needed in the “first response” form on site that will be provided to Amy.
Resource Forms:
- 01.21.22 Memo: Reporting Insurance Claims
- VLCT Auto Loss Notice
- VLCT Property Loss Notice
- VLCT General Liability Loss Notice
- VT Department of Labor First Report of Injury Form