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.