topleft CSBA.org >  Services >  Governance Technology > 

Newport-Mesa USD |  E  4156.3  Personnel

Employee Property Reimbursement   

arrow Previous bar Next arrow

Exhibit 1

REGISTRATION OF PERSONAL PROPERTY

Name:

Address:

City/State/Zip:

Property:

Make:

Model:

Serial No.

Estimated value:

By signing this registration form, I am agreeing this property is supplemental to the instructional program and governed by section 5.4.1 of the NMFT Contract.

I have also submitted a digital picture to the site administrator.

Signature: Date:

Supervisor Name and Title:

Supervisor Signatures: Date:

5.4.1 The district shall reimburse the unit member for personal property damaged or stolen, provided, however, that the site supervisor and the unit member agree that the property is a supplement to the instructional program, is registered with the immediate supervisor in writing, a value is stated at the time of registration, and the damage is not a result of the unit member's negligence. The maximum reimbursement under this section shall be $50 per registered item, unless the site/unit administrator indicates the district is willing to assume a greater liability for an item.

Disclaimer: If the site administrator wishes to assume a greater liability for an item, the cost above $50 would be the responsibility of the site, not the district.

Exhibit NEWPORT-MESA UNIFIED SCHOOL DISTRICT

version: September 8, 2009 Costa Mesa, California

Exhibit 2

EMPLOYEE PROPERTY REIMBURSEMENT

CLAIM FOR REIMBURSEMENT OF REGISTERED STOLEN PROPERTY

Print Name of Claimant:

Print Address:

Street City State Zip

Social Security#: Telephone:

Area Code

What registered property has been stolen:

When was property registered (attach registration form):

Where was property stolen from:

How and under what circumstances did property become missing?:

Claimant's Signature Date

Notice: Section 5.4.1 of the NMFT Contract: The district shall reimburse the unit member for personal property damaged or stolen, provided, however, that the site supervisor and the unit member agree that the property is a supplement to the instructional program, is registered with the immediate supervisor in writing, a value is stated at the time of registration, and the damage is not a result of the unit member's negligence. The maximum reimbursement under this section shall be $50 per registered item, unless the site/unit administrator indicates the district is willing to assume a greater liability for an item.

Return this form to:

FISCAL SERVICES DEPARTMENT

NEWPORT-MESA UNIFIED SCHOOL DISTRICT

2985 BEAR STREET, BLDG. A

COSTA MESA, CA 92626

Exhibit NEWPORT-MESA UNIFIED SCHOOL DISTRICT

version: September 8, 2009 Costa Mesa, California