Workers_Comp

Douglas County Human Resources Department

Workers Compensation Information

Forms for Workers Compensation

C-1 Form - Notice of Injury or Occupational Disease (To be completed by EMPLOYEE)
C-1 Form (Interactive Form)
C-3 Form - Employers Report of Industrial Injury or Occupational Disease (To be completed by EMPLOYER)
C-3 Form (Interactive Form)
D-2 Form - Brief Description of Rights and Benefits

Please contact Human Resources at 775-782-9066 with workers compensation questions and concerns.

Douglas County Human Resources
1594 Esmeralda Avenue
P.O. Box 218
Minden, NV 89423
Phone: 775.782.9860 - Fax: 775.782.9083 - Job Line 775.782.9824
e-mail: recruitment@co.douglas.nv.us