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LANE COUNTY RISK MANAGEMENT INJURY CLAIM FORM Use this form if Lane County employees injured you, or you were injured on County owned property. Your Name:Date Reported:Mailing Address: Phone:City,
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To fill out Lane County Risk Management form, follow these steps:
02
Obtain a copy of the form. You can request a copy from the Lane County Risk Management office.
03
Read the instructions carefully to understand what information is required.
04
Provide all the requested information accurately. Ensure that you have all the necessary details and documents before you begin.
05
Fill out each section of the form clearly and legibly. Use black ink to fill out the form.
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Double-check your entries to avoid any errors or omissions.
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If there are any additional documents or supporting materials required, attach them along with the form.
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Review the completed form to ensure everything is filled out correctly.
09
Submit the filled-out form to the Lane County Risk Management office by the designated deadline.
10
Keep a copy of the form for your records.

Who needs lane county risk management?

01
Lane County Risk Management is needed by individuals, organizations, and businesses who operate within Lane County and seek protection against potential risks and liabilities. This can include county employees, contractors, service providers, and anyone who engages in activities that may pose a risk to themselves or others. Lane County Risk Management helps to identify, assess, and mitigate these risks, providing a safer environment for all those involved.
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Lane County risk management is a department that manages and mitigates risks associated with county operations.
All county employees and departments are required to file Lane County risk management.
To fill out Lane County risk management, employees and departments must provide information about potential risks and mitigation strategies.
The purpose of Lane County risk management is to identify, assess, and manage risks in order to protect the county and its employees.
Information such as potential risks, mitigation strategies, and any incidents that have occurred must be reported on Lane County risk management.
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