Plumas County
Department of Risk Management - Forms

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520 Main Street, Room 309
Quincy, CA.  95971
(530) 283-6398
(530) 283-6288 - FAX		 Kelly Stane, Risk Manager   

Risk Management Forms

bullet Notice of Change of Workers' Compensation Administrator
bullet Claim for Workers' Compensation Benefits
bullet Injury Reporting Guidelines
bullet What to do When an Injury Occurs
bullet Gregory B. Bragg & Associates, Inc.
bullet Employer Report of Occupational Injury & Illness
bullet Supervisor Accident-Incident Report Form
bullet Auto Accident Form
bullet Claim Against County
bullet Request for Certificate of Coverage
bullet Report of a safety hazard or violation
bullet Safety Suggestion Form
 

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