Incidents (Departmental Use Only)
Departments - Submit an Incident Report
Important: For internal County use only
Incident Report (PDF: 98.5 kB)
- Use this form to report injuries and/or property damage sustained by a third party (non-employee). If your department has its own incident report form, you may use that instead of this form.
Property Damage Incident Report (PDF: 117 kB)
- Use this form to report damage to County property.
Send completed reports to Risk Management at email@example.com or fax to 707-565-6192. Keep a copy for your records.
- Disability Management Unit forms
- Occupational Health & Safety Unit incident reporting