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State Vehicles
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STD 261 Authorization to Use Privately Owned
Vehicles on State Business
STD 269 Accident Information Card
STD 270 Vehicle Accident Report
STD 274 State Driver Accident Review
Enterprise
Rent-A-Car FAX Authorization Forms
Select any of the links above to obtain a description of the form, the purpose of the form, and a web link to the pdf version of the state vehicle reporting form (adobe acrobate reader required).
The supervisor authorized to approve travel shall retain
the STD 261 completed authorization form in the employee's personnel file. The
STD 261 authorization form is valid for a period not to exceed one year and
may be initialed and dated annually by the authorized employee driver and employee's
supervisor to certify adequate personal auto insurance is current and that the
private vehicle is safe for State business use. For further information refer
to the manual CSU Use of University and Private Vehicles Policies and Regulations
available through the Environmental Health & Occupational Safety (EHOS)
department at (415) 338-1449.
return to forms
The STD 270 Vehicle Accident Report form is used to report all State vehicle accidents within 48 hours to the State of California Office of Risk and Insurance Management (ORIM). If the accident results in bodily injury or significant property damage, the accident must be first reported by telephone and/or fax copy of the STD 270 to the ORIM fax phone number at (916) 322-6006. The ORIM website allows individuals to download a copy of instructions to complete the STD 270 Vehicle Accident Report.
The STD 270 Vehicle Accident Report must be accompanied by the STD 274 State Driver Accident Review form completed by the employee driver's supervisor be submitted within 48 hours to the State of California Office of Risk and Insurance Management (ORIM).
A copy of the STD 270 and STD 274 should also be forwarded
to the campus Office of Risk Management office located in the Corp Yard, Suite
201 or via fax (415) 338-2498.
return to forms
The STD 274 State Driver Accident Review form must be completed by the supervisor of the employee driver involved in an accident and must accompany the STD 270 Vehicle Accident Report completed by the employee driver within 48 hours to the State of California Office of Risk and Insurance Management (ORIM). The STD 274 State Driver Accident Review form is a record or the employee supervisor's prompt and through investigation of the State vehicle accident. The supervisor must initiate any verbal or written corrective action with the employee driver, record the action on the STD 274, and forward copies of the completed STD 274 form along with the STD 270 to the campus administration (the SFSU Office of Safety and Risk Management). The purpose of the STD 274 State Driver Accident Review form is to determine whether the accident was avoidable and to aid in the prevention of future State vehicle accidents.
A copy of the STD 270 and STD 274 should also be forwarded
to the campus Office of Risk Management office located in the Corp Yard, Suite
201 or via fax (415) 338-2498.
return to forms
State contracted auto liability coverage applies only when the employee uses the uses the American Express (State) Government Card card for rental car payment. The exception to this payment rule is a direct billing arrangement authorized by the Enterprise Rent-A-Car vendor on campus (Local FAX Authorization, Traveling FAX Authorization). Cash, personal checks and personal credit cards are prohibited forms of payment for State contracted commercial car rentals.
Office of Safety and Risk Management, San
Francisco State University, 1600 Holloway Avenue, San Francisco, CA
94132
riskmgmt@sfsu.edu
Last modified 12/1/2003