.
Instructions
Please review the
Significant Incident Report
Instructions for more details about the information requested on this form.
Member Information
CONFIDENTIAL. Prepared in anticipation of litigation at the request of
C
ALIFORNIA
JPIA
defense counsel.
Organization:
Select Member
----------------------------
Agoura Hills
AHCCCA
Aliso Viejo
Apple Valley
Area B Disaster Management
Area E Disaster Management
Arroyo Grande
Artesia
Atascadero
Bell Gardens
Bellflower
Belvedere
Big Bear City Community Services District
Big Bear Lake
Bishop
Black Gold Cooperative Library System
Bradbury
Brawley
Buellton
Burney FPD
Calabasas
Calexico
California JPIA
Camarillo
Carpinteria
CASA
Cerritos
Chino Hills
Claremont
Commerce
Cudahy
CVAG
CVCC
Dana Point
Diamond Bar
Duarte
El Centro
ESTA
Fillmore
Fountain Valley
Gateway Cities COG
Goleta
Grand Terrace
Grover Beach
Guadalupe
Hawaiian Gardens
Hidden Hills
Imperial
Indian Wells
Indio
Irwindale
La Canada Flintridge
La Habra Heights
La Mirada
La Palma
La Puente
La Quinta
La Verne
Laguna Niguel
Laguna Woods
Lake Elsinore
Lake Forest
Lakewood
Las Virgenes COG
Lawndale
Local Government Services
Loma Linda
Lomita
Los Alamitos
Malibu
Mammoth Lakes
Marin County MCTF
MARTA
Maywood
Midpeninsula ROSD
Mission Viejo
Monterey Peninsula RPD
Moorpark
Morro Bay
Needles
Norwalk
Ojai
Palm Desert
Palos Verdes Estates
Paramount
Paso Robles
Pico Rivera
Pismo Beach
Pomona Valley Transportation Authority
Port Hueneme
Poway
PV Transit
Rancho Palos Verdes
Regional Government Services
Rolling Hills
Rolling Hills Estates
Rosemead
San Clemente
San Dimas
San Gabriel
San Juan Capistrano
San Luis Obispo
San Marcos
San Marino
Santa Fe Springs
Santa Paula
SCAG
SEAACA
Seal Beach
Seaside
Seaside County Sanitation
Sierra Madre
Signal Hill
Solvang
South El Monte
South Pasadena
Temple City
Ventura Port District
Villa Park
Walnut
West Hollywood
West-Comm
Westlake Village
C
ALIFORNIA
J
OINT
P
OWERS
I
NSURANCE
A
UTHORITY
8081 Moody Street, La Palma, CA 90623
Phone: (800) 229-2343
Email:
info@cjpia.org
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