School Maintenance Installation Liability Waiver Form
Please complete this form before beginning any maintenance or installation work at the school. This form ensures all parties understand the work scope, associated risks, and responsibilities.
School or Site Name
*
Responsible Person's Full Name
*
First Name
Last Name
Work to Be Performed (Brief Description)
*
Date of Work
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Work Location (Building/Area)
*
Known Hazards or Special Instructions
Acknowledgement of Risk and Responsibility
*
I have read and understand the risks and responsibilities associated with this work.
Signature
*
Submit
Submit
Should be Empty: