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Forms for Facility Use Agreements
New! Facility Use Agreement (FUA) Guidance
Attachment A: Preferred Hold Harmless and Indemnification Clause
If a facility use agreement contains a clause that compromises The Regents' assets by leaving open the potential for lawsuits from any and all parties, the County Director or Regional Director need to review the language and negotiate changes to the contract language.
Attachment B: Alternate Hold Harmless and Indemnification Clause
If a facility use agreement contains a clause that compromises The Regents' assets by leaving open the potential for lawsuits from any and all parties, the County Director or Regional Director need to review the language and negotiate changes to the contract language.
Attachment D: Preferred ANR Use Agreement
Use this form as a simple facility use agreement when the business or organization does not have a standard use agreement or contract.
Attachment E: Alternate ANR Use Agreement
Alternate form to use as a simple facility use agreement when the business or organization does not have a standard use agreement or contract.
Negotiated Indemnification Agreements
Agreements with Joint Powers Authorities (JPAs) and state agencies on indemnification language for use of facilities at school districts, community colleges, California State University (CSU) campuses, fairs, etc.
Other Forms
Incident Reports
Incident Report (other than employee injury)
Any incident resulting in property loss/damage and/or causalities (including property damage, theft, injuries to non-employees, and all auto accidents) must be reported using this form.
Vehicle Insurance/Incident Report Packet
This package of information should be placed in all ANR vehicles to provide proof of insurance, an Incident Report and other forms to use in the event of an automobile accident.
DMV Employer Pull Notice enrollment
EPN Employee Notification form
Use this form to enroll the employee in the DMV Employer Pull Notice program when an employee drives a UC or County vehicle for work.
Equipment Loan
Equipment Loan - UC as Borrower
Equipment Loan - UC as Lender
Waivers
Elective/Voluntary Activity Waivers
English and in Spanish covering liability issues for elective/voluntary events, including 4-H programs.
Volunteer Forms
4-H Volunteer application and enrollment
Master Gardener volunteer application
Master Food Preserver volunteer information
Use the following forms for volunteers in any other ANR programs
ANR Volunteer Information and Waiver
ANR Volunteer Self Disclosure (required if volunteer will work with youth or drive for University business)
Interns or Fellowship Forms
ANR Human Resources Fellowship/Intern Process