Emergency kit. I am required to purchase a 72-hour emergency kit provided by HFS at the beginning of my occupancy with HFS. I am only required to purchase one emergency kit during my occupancy with HFS.
Emergency kit. The Operator must ensure that the emergency kit is stocked with frequently used medications to provide for an immediate need. The medications in the emergency kit must be obtained from the Vendor Pharmacy. Operator is responsible for determining which medications are ‐ “VHA FORMULARY MANAGEMENT PROCESS” (2/26/2009) Part 17‐ Procedures, items q‐u are applicable to VAMC non‐formulary procedures. needed to be kept in the emergency kit. The Operator should establish procedures to regularly check the emergency kit to ensure that needed medications are available.
Emergency kit. Each van is equipped with an emergency kit. Drivers are responsible for checking that batteries for the flashlights and reflectors are in working order. TERMINATION OF DRIVING CONTRACT – Drivers must notify the City of Moscow immediately if they wish to withdraw from the VanPool. The City retains the right to terminate this contract, without notice, for failure of the driver to provide adequate service or to properly care for the van while it is in the driver’s possession. VAN INFORMATION XXXXXX – Each van has a Van Information Binder that includes the following: • Rider Contact List • Monthly Reports Required o Monthly Report o Driver and Route Schedule Report o Rider Log Report o Daily Safety Check List Report • Accident Report • Request for Maintenance Form • Fueling Process Sheet CITY OF MOSCOW VANPOOL DRIVER CONTRACT After reviewing the City of Moscow VanPool Agreement, please complete the following. Keep a copy for your records and return the original to the City of Moscow VanPool Coordinator. Mail to: Deliver to: City of Moscow City of Moscow – City Hall Attn: VanPool 000 Xxxx Xxxxx Xxxxxx P O Box 9203 Administration, Suite 303 Moscow, ID 83843 Moscow, ID 83843 First: Last: Mail Address: Street Address: Work Phone: Cell Phone: Home Phone: Email: Driver’s License # Expiration Date: Destination Address: (Street Address) Emergency Contact & Phone: Medical Conditions: I have read and understand the City of Moscow VanPool Agreement and agree to the terms outlined therein. Signature Date CITY OF MOSCOW VANPOOL PAYROLL DEDUCTION AUTHORIZATION To be completed by the City of Moscow and the rider. Name: Address: Home Phone: Work Phone: Cell Phone: Employer: Employee ID: Per Pay Period Payroll Deduction Amount: Start Date: End Date: Total Deduction Limit: I hereby authorize my employer to make the above deductions from my pay in accordance with the above terms. I understand and agree that I am responsible for satisfying the above amounts. I understand and agree that any amount that is due and owing at the time of my termination, regardless of whether my termination was voluntary or not, will be deducted from my last paycheck or any other amounts that may be owed to me. I further understand and agree that deductions will be made after any mandatory taxes, as well as for any employer programs in which I have enrolled, for which I am eligible, or to which I have agreed. Employee Signature Date
Emergency kit o This kit consists of Child Admission Records so we have access to phone numbers, Water, small toys and books.
