Workers' Compensation & Property Casualty Forms

Property / Casualty Forms

  1. Citizen Injury-Loss or County Property Loss Report (PDF)
  2. Supervisors Investigation Report (PDF)
  3. Vehicle Accident Report (PDF)
  4. Witness Statement (PDF)

Workers' Compensation Forms

  1. BWC Medco 14 (PDF)
  2. BWC-C101 (PDF)
  3. BWC-C159 (PDF)
  4. BWC-C84 (PDF)
  5. Employee Injury Report (PDF)
  6. FR01 - First Report of an Injury, Occupational Disease, or Death (PDF)
  7. SH-12 Sharps Injury Form (PDF)
  8. Supervisors Investigation Report (PDF)
  9. WCRA - Reimbursement Agreement for Improperly Made Wage Continuation (PDF)
  10. Witness Statement (PDF)