Skip to Content

Human Resources Department

Liability & Insurance

Incidents (Departmental Use Only)

Liability & Insurance 750

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 or fax to 707-565-6192. Keep a copy for your records.

 Other Resources: