PRISM Documents
To make things convenient for you, find the most important information on PRISM's operations compiled in one place. Find everything from claims forms to investment reports to PRISM's Joint Powers agreement.
For more information on policies and procedures, check the Best Practices Library for examples that may meet your agency's needs.
You are currently viewing “Forms” items.
| Name | Type | Date |
|---|---|---|
Med Mal Incident Notification
|
Nov 15, 2023 | |
Liability Reserve/Pmt. Update
|
Aug 31, 2021 | |
Liability File Closure
|
Aug 31, 2021 | |
EWC Status Report
|
doc | Feb 10, 2021 |
EWC First Report
|
doc | Feb 10, 2021 |
WC Reimbursement Request
|
doc | Feb 10, 2021 |
PWC/EWC Settlement Request
|
doc | Feb 10, 2021 |
WC Carve-Outs (ADR) Application (PDF)
|
May 8, 2020 | |
WC Carve-Outs (ADR) Application (Word)
|
docx | May 8, 2020 |
WC Carve-Outs (ADR) Process
|
May 8, 2020 | |
Cyber Breach or Suspected Incident
|
Oct 30, 2019 | |
Pollution Claims Reporting Form CHUBB
|
Oct 31, 2016 | |
CIMI Claim Procedures and Form
|
Jan 1, 2016 | |
Crime Loss Report Form
|
doc | Jan 1, 2016 |
Liability First Report
|
Jan 1, 2016 | |
Property Claim Form
|
Jan 1, 2016 | |
Pollution Claims Reporting Ironshore
|
May 10, 2023 | |
Watercraft Claim Reporting Procedures
|
Feb 10, 2021 | |
Watercraft Reporting Form
|
doc | Sep 24, 2020 |
Showing 1–19 of 19