Forms, Procedures and More

Forms

1. Printing Services Order Form (PDF)  - For placing printing orders.
2. Print Shop Pricing for 22/23
3. Printing Services Supply Form (PDF) - For placing supply orders.
4. Printing Services Business Cards Form (PDF) - For placing business card orders.
5. Carpool Form
6. Key Request   |   Key Control Guideline
7. Key Clearance Card
8. Key Loss Report
9. Project Request Form (PRF)
10. Space Utilization Change Request Form
11. Student Travel Request
12. Internal Facility and Equipment Use Application (Butte College events)
    
    An Internal Facility and Equipment Use Application is NOT required when ALL of the following conditions are met:
    • The use occurs during the normal operating hours for that space.
    • There are NO services or set-up required (audio/visual, furniture, food service, etc.).
    • The layout of the room will NOT need to be rearranged.
    
    However, an application is required if ANY of the following conditions apply:
    • The use will occur outside the normal operating hours for the space.
    • A service is required (audio/visual, furniture, food service, etc.).
    • There will be non-District person(s) present (anyone who is not a current student, faculty, or staff member).
    • College Police needs to be notified.
    
    
13. External Facility and Equipment Use Application (Outside organization events; Non-Butte College)
14. Facility Use Fee Schedule
15. Facility Use Pre-Event Check List (Day of event)
16. Facility Use Event Check List (Prior to event) 
17. Facility Use Vendor Agreement
18. Use of Alcoholic Beverage Form
19. Butte County Public Health Community Event ORGANIZER Packet (Required for organizer of events with food)
20. Butte County Public Health Community Event VENDOR Packet (Required for vendors of events with food)
21. Butte County Public Health Community Event Resource Guide (Required for both organizers and vendors of events with food)
22. Butte County Public Health Retail Food Safety (Additional information for organizers and vendors selling food)
23. Unsafe Condition Form
24. DMV Program Request
25. Vehicle and Equpment Acquisition Form
26. Safety Training Sign In Sheet | Utility Golf Cart Guidelines | Online Safety Trainings (Keenan SafeColleges) | Drug and Alcohol Program Training | Keenan Safeschool Login Steps Integrated Pest Management
27. Information regarding Respiratory Protection:  FAQ Regarding N95 Masks | Guidelines for use of N95 Masks| Respiratory Protection Guide CalOSHA | Guidance for Protecting Workers from COVID19 in General Industry | Keenan Bulletin on Respirator Fit Testing OSHA Temporary Enforcement Guidance | Butte College Respiratory Protection Plan
28. Accident Reporting Forms available on the Human Resources webpage at js15.lmjrsygc.com/hr/forms.html. 
29. Incident Report (PDF) | Frequently Asked Questions (PDF Version)
30. Project Request Form (PRF)
31. Environmental Questionnaire - Use this form when there are interests from departments to use District lands for a project or for instructional use that have environmental impacts.  A Project Request Form (PRF) must also be submitted with the Environmental Questionnaire. 

Maps

1. Designated Smoking Areas (Main Campus)
2. Emergency Phone Locations (Main Campus)
3. Service Vendor Parking Locations (Main Campus)
4. Lactation Rooms (Main Campus) | Lactation Use and Reservation Process
5. Adult Changing Table Rooms and All Gender Restroom on Main Campus
6. All Gender Restroom/Lactation Room at the Chico Center 

Plans

1. Injury Illness Prevention Plan | Workplace Violence Prevention Plan
2. First Aid Program
3. Confined Space Plan
4. Repetitive Motion Injury Prevention Plan
5. Hazard Materials and Communication Program
6. Chemical Hygiene Plan
7. Energy Cost Containment Plan
8. Facilities Plan
9. Five Year Capital Outlay Plan

Reports

1. Water Quality Report | Water Testing Reporting Outline
2. SAS Soil Report
3. Arts Geotechnical Report 1, Arts Geotechnical Report 2 

Procedures

District Board policies are available online by clicking here.