Complete a separate report for each Workers Comp Class Code group. Direct questions about WCCC to Risk Management at email@example.com
Questions about this form or the VIP Program? Contact Human Resources at firstname.lastname@example.org
1.Number of new volunteers/interns (for this WCCC) that started during the quarter.
2. Number of hours donated by all volunteers/interns (under this WCCC) during the quarter (including existing).
3. Number of volunteer/interns currently on record (under this WCCC) in the department.
4. A. current volunteer roster must be maintained on the branch/department/division level. It does not need to be submitted with this report but must be available upon request by Human Resources .
Separate form for each WCCC.
Name of the branch, department or division that managed volunteers/unpaid interns
Enter "0" if no new VIPs
Enter "0" if none.
Retain this information at your department.
First and last name of person completing this form.
Email address of person completing this form.
Use this area to type a comment if you need to provide any additional information.
Encourage all applicants to use the NeoGov application. You may use any additional paper forms as needed on the department/division level. VIP's that need to update their information (phone, email, etc.) must update NeoGov. This includes applicants that originally completed a paper form. Paper and electronic applications should be retained at the department level for three years after the departure of the volunteer.
This field is not part of the form submission.
* indicates a required field