UC Trust Risk Control Incentive Program 2019

Question Title

* MEMBER INFORMATION

County/Entity:

Person Completing This Form:

Title:

Phone Number:

Email:

Select the activities below which were completed (or will be completed) between January 1, 2019 and December 31, 2019. Be sure all eligibility requirements, as outlined in the 2019 CCAP UC Trust Risk Control Incentive Program document, have been met. Please keep track of all certificates.

TRAINING AND EDUCATION - Three Percent

Question Title

* ONLINE TRAINING PROGRAM (one percent)

I am certifying that three (3) online training courses have been completed (or will be completed) through LocalGovU.

Online training was NOT completed.

Question Title

* List the titles of the three (3) approved LocalGovU training courses that have been completed or will be completed by December 31, 2019. Please note, the online courses must be on the approved list located in the 2019 UC Trust Risk Control Incentive Program document.

Course 1:

Course 2:

Course 3.

Question Title

* ONSITE TRAINING PROGRAM (two percent)

I am certifying that one or more representatives from our county/entity attended at least four (4) 2019 UC Trust sponsored training workshops or Trust approved training events. You can refer to the GLIMPSE Workshop Catalog to determine if the training you attended was sponsored by the UC Trust (as outlined in the 2019 UC Trust Risk Control Incentive document). Additionally, and as outlined in the 2019 UC Trust Risk Control Incentive document, if you attended a conference that counts as two credits, please list it twice below.

Onsite training was not completed.

Question Title

* List the titles of the four (4) approved UC Trust sponsored training courses/events that have been attended below.

Please note, the 2019 CCAP County Administration Conference and the 2019 SCHRPP Conference count as two (2) Trust sponsored events if employees attend both days of those events.

Course 1:

Course 2:

Course 3.

Course 4:

POLICY AND PROCEDURES - One Percent

Question Title

* POLICIES AND PROCEDURES REVIEW OR DEVELOPMENT (one percent)

I am certifying that we have reviewed our policies and procedures this year.

I am certifying that we have created and/or updated our policies and will submit them via email to Desiree J. Nguyen at dnguyen@pacounties.org for review.

TIMELY REPORTING - One Percent

Question Title

* Both requirements must be met in order to get the one percent. Partial credit will not be given. CCAP will verify timely reporting upon completion of this survey.

I am certifying that all quarterly contribution reports were completed online and uploaded to our online site in PDF format. Additionally, payment has been sent to the UC Trust on or before 30 days following the end of the quarter.

I am certifying that notice of separations and supporting documentation were sent to CCC on or before the state imposed due date.

Question Title

* AUTHORIZATION AND SUBMISSION

I affirm that this submission has been reviewed and approved by one or more of the following authorized individuals: Chief Clerk or County Administrator, Director of Human Resources, Commissioner or Council Member, Controller or Director of Finance.

Question Title

* MEMBER INFORMATION

Question Title

* ONLINE TRAINING PROGRAM (one percent)

Question Title

* List the titles of the three (3) approved LocalGovU training courses that have been completed or will be completed by December 31, 2019. Please note, the online courses must be on the approved list located in the 2019 UC Trust Risk Control Incentive Program document.

Question Title

* ONSITE TRAINING PROGRAM (two percent)

Question Title

* List the titles of the four (4) approved UC Trust sponsored training courses/events that have been attended below. Please note, the 2019 CCAP County Administration Conference and the 2019 SCHRPP Conference count as two (2) Trust sponsored events if employees attend both days of those events.

Question Title

* POLICIES AND PROCEDURES REVIEW OR DEVELOPMENT (one percent)

Question Title

* Both requirements must be met in order to get the one percent. Partial credit will not be given. CCAP will verify timely reporting upon completion of this survey.

Question Title

* AUTHORIZATION AND SUBMISSION

* List the titles of the four (4) approved UC Trust sponsored training courses/events that have been attended below.

Please note, the 2019 CCAP County Administration Conference and the 2019 SCHRPP Conference count as two (2) Trust sponsored events if employees attend both days of those events.