Alphabetical Listing of Forms

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This is not an exhaustive list of forms, but the most used forms for Girl Scout volunteers. If you do not see a form that you need, please try our Forms and Publications Search, or contact your Community Development Director with questions about forms you do not see here.

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Name of Form	Submit form to:	Description
Accident/Injury Report Form	Fax or e-mail to the program assistant in the Oakland office	Use to report any accident/injury within 24 hours of incident.
Adult Education Registration Form	Adult Development Coordinator 7700 Edgewater Drive Suite 340 Oakland, CA, 94621 Fax: (510) 633-7925	Use this form to register for in-person volunteer learning courses. Please review the online schedule of courses at www.GirlScoutsNorCal.org/training . Registration for classes is on a first-come, first-served basis
Adult Health History Form (English) Adult Health History Form (Spanish)	Event Registrar, Troop/Group Leader	Required for adults attending overnight events.
Adult Photo Release	Local office - Requesting Department Click here to look up your local office mailing address.	Required when pictures or video will be taken specifically for use in GSNorCal publications.
Adult Recognition Nomination Forms	Please review the information on the "Adult Recognitions" page.	Use these forms to nominate an outstanding adult in Girl Scouting for one of our formal awards.
Adult Screening Packet - All areas except Santa Clara County (contains all forms needed for screening in all areas except Santa Clara County) Volunteer Application Reference Inquiry Form (NOT Santa Clara County) Live Scan Application (for use with outside Live Scan Agency) (see also "Troop Driver Form")	Adult Screening Specialist 1310 S. Bascom Avenue San Jose, CA 95128-4502 Fax: (408) 287-8025	Required of all adults who will supervise or drive girls, or work with money, except those in Santa Clara County Please click here for more information about the Adult Screening Process
Adult Screening Packet - Santa Clara County (contains all forms needed for screening in Santa Clara County) Volunteer Application Live Scan Application (for use with outside Live Scan Agency) (see also "Troop Driver Form")	Adult Screening Specialist 1310 S. Bascom Avenue San Jose, CA 95128-4502 Fax: (408) 287-8025	Required of all adults in Santa Clara County who will supervise or drive girls, or work with money Please click here for more information about the Adult Screening Process
Annual Permission Form (doc) Annual Permission Form (PDF) Permiso Anual (doc) (see also "Parent Permission Form")	Troop Leader	Use for general permission from parent or guardian; photo release, product sales, permission for emergency medical treatment, and trips where driving time is less than one hour, trip does not exceed six hours, and the activity is not considered high-risk
Annual Service Unit Financial Report	Director of Membership - Local Office Click here to look up your local office mailing addres.	By September 30 of each year, submit this form with a copy of the last bank statement to the Director of Membership in your area. This form covers September 1 thought August 31. Please keep a copy for your records. If your service unit has more then one account, please submit a separate form for each account.
Annual Troop/Group Finance Report	SU Treasurer OR Community Development Director Click here to look up your Community Development Director	Due by June 30 of each year, when troop disbands or upon change of leadership. See Annual Troop/Group Finance Report Instructions regarding listing income and expenses.
Authorization to Rent Vehicles	Local office - Program Department Click here to look up your local office mailing address	File at least 4 weeks in advance of scheduled trip.
Bank Account Packet	Fax or mail to Wells Fargo Bank	Use when opening or changing a group bank account
Certificate of Insurance Request Form	Insurance Specialist 7700 Edgewater Drive Suite 340 Oakland, CA, 94621 Fax: (510) 633-7925	Use if a vendor or site you are working with requires a Certificate of Insurance from the council.
Change of Address/Name Form	Submit Online	Use this form to submit change of address or name-change information. You can also update your electronic newsletter preferences with this form.
Community Camp Finance Report	Outdoor Program Director for Community Camps 7700 Edgewater Drive Suite 340 Oakland, CA, 94621 Fax: (510) 633-7925	By September 30 of each year, submit this form with a copy of the last bank statement to the Outdoor Program Director for Community Camps. This form covers September 1 thought August 31. Please keep a copy for your records. If your camp has more then one account, please submit a separate form for each account.
Council Resource Guide	N/A (Informational Form)	The Council Resource Guide is full of the information you need: council operations, council shops, badge depots, volunteer screening process, health and safety, finance, program resources, and forms all in one place.
Disbanded Troop	SU Director/Leader Support Manager or SU Treasurer	Use this form along with the "Financial Procedures for when Troops/Groups Change" section in the Council Resource Guide when a troop/group is no longer meeting, or within 3 months from the expiration date of the last member's registration.
Emergency Contact Card	N/A (Informational Form)	Use this form to contact council in case of Girl Scout emergency. In cases where emergency services are needed, call 911 first.
Event Budget Worksheeet	N/A (Planning Form)	Use these forms when planning events. An "event" is defined as an activity that includes other people outside the troop/group and meets one or more of the following criteria: Girls attend individually You will promote the event outside of your troop Three or more troops will attend The logistics are sufficiently complicated to require extra planning
Event Financial Report	Service Unit Director/Program Support Manager
Event Health Care Plan	N/A (Informational Form)
Event Media Information Sheet	See Media Information Sheet below
Event Notification and Approval	Service Unit Director/Program Support Manager AND CDD
Service Unit Event Emergency Form (online)	Submit online, a copy will be sent to the Event Director, and CDD or Council Contact identified on the form.
Event Registration Form - Choices	Please view the information on the "Registration Information" page.	Instructions and information about registering for events in the Choices Activity Guide. Also contains information about financial aid. Forms in English and Spanish.
Financial Assistance Form	Chief Program & Membership Officer - San Jose office 1310 S. Bascom Avenue San Jose, CA 95128-4502 Fax: (408) 287-8025	Use this form to request financial assistance.
Girl Health History Form (English) Historia Salud Niña (Español) Girl Health History Form (w/Physical)	Retained by Troop Leader	Use this form to retain girls' medical history and receive permission from parent/guardian for emergency medical treatment.
Gifts In-Kind Form Sample Ask Letter Sample Thank You Letter (see also Sponsorship Agreement Form)	A copy should be retained by the donor and given to the Girl Scout who requested the donation. For official acknowledgment and tax deductibility please also send a copy of this form to the local fund development office. Click here to look up your local office mailing address.	This form is for recording goods or services donated in lieu of a cash gift to Girl Scouts of Northern California.
Incident Report Form	Fax or email to the program assistant in the Oakland office	Use to report any non-injury incident that may result in legal or other repercussions for the people involved or for Girl Scouts of Northern California including adverse media
Media Information Sheet	Give to media personnel if an emergency should arise where media arrives to cover a news story.	Event Directors should download several copies of this document and bring to the event. Consult with the council emergency team and law enforcement (if applicable) to fill out the information about where media can go and with whom they may speak.
Membership Forms Formas de Membresía	Please review the information on the Membership Forms page. Por favor, revise la información en la pagina de formas de membresía (formas en Español)	Use the forms on this page to register as an adult or girl in Girl Scouting. Also available, Membership Dues Summary and Troop Registration Worksheet.
Minor Photo Release	Local office - Requesting Department Click here to look up your local office mailing addres.	Required when pictures or video will be taken specifically for use in GSNorCal publications.
Money Earning Application	Community Development Director Click here to look up your Community Development Director	File at least 4 weeks before planned project
Money Earning Evaluation	Community Development Director Click here to look up your Community Development Director	Within 2 weeks after money-earning project
Mutual of Omaha Brochure	Please review the information on the "Additional Event & Trip Insurance" page.	Instructions and information about filing a claim under the Activity Accident Insurance
Mutual of Omaha Claim Form	Please review the information on the "Additional Event & Trip Insurance" page.	Use to file a claim under the Activity Accident Insurance coverage
Parent Permission Form Forma Permiso Paternal (see also "Annual Permission Form")	Troop Leader	This form helps troop leaders inform parents about field trips, overnight trips, etc. It is used in addition to the Annual Permission Form.
Property Reservation Form	Property Reservation Specialist 7700 Edgewater Drive Suite 340 Oakland, CA, 94621 Fax: (510) 633-7925	Use this form to request the use of Girl Scout property. Please call (510) 562-8470 ext, 112 for availability.
Sensitive/Controversial Issues Permission Form	Please return to your troop/group leader.	Use when the troop/group will discuss sensitive or controversial issues or do activities involving these types of issues.
Special Event & Additional Insurance Request	Please review the information on the "Additional Event & Trip Insurance" page.	Use when additional insurance is required or desired for non-member adults or girl participants, or when trip is longer than 3 nights, or any other time when additional insurance is desired.
Sponsorship Agreement Form (see also Gifts In-Kind Form)	Provide one copy to sponsor, one copy to Fund Development Dept. - local office. Click here to look up your local office mailing address.	Use when Troop/group receives a financial donation. If amount is $500 or more, you must contact your local Fund Dev Dept PRIOR to securing gift for guidance.
Trip Checklist	Use to plan any trip/outing	Are you confused about which forms you need when going on a trip or outing? This is the tool for you!
Trip & High Risk Notification & Approval Form (PDF) (requires Adobe Acrobat 7.0 or later, or Preview 4.1 (mac) or later to fill-out and save)	Service Unit Trip Coordinator or designated Service Unit Team Member	This form must be filed with the service unit for any trip or high risk activity other than the following: service unit or council sponsored activities listed in the Choices activity guide activities where girls walk or ride their own bicycles as part of their regular meetings trips located within one hour driving time (approx. 60 miles) from the regular meeting place, and are less than six hours in duration and are not high risk. The form is recommended as a planning tool when it is not required to be filed. NOTE: This form and procedure has been modified since the 2008 printed version of the Council Resource Guide.
Troop Driver Form	Retained and updated by the troop/group leader	Volunteers who will drive girls other than his/her own daughter as part of a Girl Scout trip, must complete the Adult Screening Process and a Troop Driver Form. Click here for more information about the Troop Driver Form
Website Guidelines - Troop/Group/Service Unit (by GSUSA) Website Guidelines - Online Social Networking Sites (by GSNC)	N/A (Informational Form)	Guidelines for troops/groups or Service Units who would like to have a Girl Scout website, or who would like to post content on online social networking sites like Facebook, mySpace, Twitter, youTube, Google Groups, Yahoo Groups, and many others.