Skip to main content

Policy DEC - Exhibit 1

Policy DEC-Exhibit 1 (PDF)

Issue Date: November 18, 2009


 

Acknowledgment of Legal Liability Protection

EMPLOYEE: _______________________ Date of Hire: __________________

 

I am a newly hired employee of the District and have received from the District a disclosure of insurance coverage that is provided to employees through the Utah State Risk Manager.  I state that I have read the disclosure prepared and provided by the Risk Manager through the School District office.  I further state that I understand that legal liability protection is provided and what is not covered, as explained in the disclosure. 

            

Unless indicated below, I have no questions or uncertainty about liability protection coverage. 

Dated this ____ day of ________, 20___.

 

Employee:

_________________________________

 

Witness:

_________________________________

Utah Code Ann. § 53G-11-202