Employment Related Claim Mitigation Initiative printable pdf download

Employment Related Claim Mitigation Initiative

Letter of Intent Regarding Education Program

The College or Organizational Unit of ______________________________agrees to participate

in the “Supporting Supervisors in the Workplace” education program with the intent to comply

with and fulfill the requirements as outlined in the attached Employment Related Claim

Mitigation Initiative Document.

Stated College/ Organizational Unit agrees to an implementation date beginning __________

and concluding __________ (the Implementation Period). College/ Organizational Unit

understands this period will not exceed three years. It is further agreed that the anniversary

date to be utilized in calculating the training participation progress rate will be the annual

period beginning with the beginning implementation date above.

College/ Organizational Unit will make a best faith effort in attaining participation levels as

indicated in the education program, and understands it may be eligible for certain deductible

waivers based on participation levels as outlined in the attached program document.

_____________________

Signature of College/ Organizational Unit VP/dean

____________

Date

Attachment:

tion%20Initiative.pdf.pdf

Note-This form to be signed by each Purdue Organizational Unit VP, dean, or equivalent

person

This form to be printed, completed, signed, and faxed/e-mail scanned to Tiffany Utermark in

the Risk Management Department: Fax 765-496-1338 or e-mail tutermark@purdue.edu

Employment Related Claim Mitigation Initiative