Risk Management Forms

COUNTY EMPLOYEES ONLY

Emergency Remote Work Policy (PDF)

Injury Management/Workers Comp

• Injury Management Checklist
• Incident Only Injury with Declination Form
• First Aid Packet - Doctor's Letter, Workability, Dr. Release, Temporary Prescription 
• Worker Compensation Packet - Mileage Reimbursement and Information Pamphlet
• Supervisor's Injury Investigation Form

Volunteer Policy (PDF)

Incident Hazard Reports

• Incident Hazard Report with Instructions
• Incident Hazard Report NO Instructions

Required Training Instructions (Online Defensive Driving Training and Online Sexual Harassment Prevention)

Other Forms

• Personal Vehicle Used for County Business
• Auto Accident Form 
• Supervisor Accident / Incident Report Form
• DWC 7 - Notice to Employees: Injuries Causes by Work
• DWC - Minimizing the Impact of Work-Related Injuries and Illnesses
• Plumas County Employee Assistance Program
• DWC - Time of Hire Pamphlet