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Accident/Incident Forms

Contact the District Office at (360) 538-2002 or (360) 538-2010 if you experience any difficulty downloading this form.

TO USE: Click on any form below to preview the document, click again to open in a new window for use or download.

Employee Incident Report - Complete the Employee Incident Report when you are injured on-the-job.  This report will be sent to ESD 113 Worker's Compensation Trust and to the Business Office.