Forms | SISC - Self-Insured Schools of California

SISC, 2000 K Street Bakersfield, CA 93301 661.636.4710

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Schools Helping Schools

Building relationships to deliver innovative coverage
and services

Forms

Direct Deposit Request Form
Enrollment Form 2021
Letter of Medical Necessity 2021
Navia DC-HC Claim Form 2021
Navia DC Receipt for Services 2021
Premium Only Plan Enrollment Form
Recurring Dependent Care Expense Claim Form 2021

Board Agenda Dates

Contact

SISC
P.O. Box 1847
2000 “K” Street
Bakersfield, CA 93303-1847
661-636-4710
661-636-4156

About

Our Philosophy – “Schools Helping Schools”

Our Goal is to provide the best coverage and service to our members while keeping costs affordable and stable.

SISC is a Joint Powers Authority administered by the Kern County Superintendent of Schools Office, Mary C. Barlow, Superintendent

Contact us

SISC

2000 K Street Bakersfield, CA 93301

661.636.4710

661.636.4156

© 2021 SISC. All rights reserved.