Incident / Accident Report Forms

  1. Blood-Borne Pathogen Incident (Accident) Report (PDF)
  2. Douglas County on-the-Job Injury Report (PDF)
  3. RM1 (Douglas County Incident/Accident Report) (PDF)
  4. RM2 (Supervisor/Department Head Investigation of Incident) (PDF)
  5. RM4 (Douglas County Damages Claim) (PDF)

RM3 (Statement of Facts of Accident)

Currently not available on-line, contact Human Resources at 541-440-4405 and request the form or email Human Resources.