Risk Management Division Forms and Office Locations – Government Agency in Nevada

Preserves and protects state property and personnel,vision is to continually improve our service to the State, to protect the State’s human, intellectual, physical and financial assets and resources and to collaborate with staff to help them meet their goals thereby minimizing the probability, occurrence and impact of accidental losses to the Government of the State of Nevada.

Forms & Documents Contact Info & Office Locations Questions & Answers

Forms & Documents

Browse all Risk Management Division government forms

All 20 forms

Form Title	Topics
C-1 Fillable Form - Notice Of Injury FormDocument is compliant. Select if any issues - C-1 Fillable Form - Notice Of Injury Form
C-1 Form - Notice Of Injury FormDocument is compliant. Select if any issues - C-1 Form - Notice Of Injury Form
C-3 Fillable Form - Employer's Report of Industrial Injury or Occupational DiseaseDocument is compliant. Select if any issues - C-3 Fillable Form - Employers Report of Industrial Injury or Occupational Disease
C-3 Form - Employer's Report of Industrial Injury or Occupational DiseaseDocument is compliant. Select if any issues - C-3 Form - Employers Report of Industrial Injury or Occupational Disease
D-8 - Form - Employer's Wage Verification FormDocument is compliant. Select if any issues - D-8 - Form - Employers Wage Verification Form
Description Of Employee Rights (D-2 Form)
Document is compliant. Select if any issues - Leave Choice Option FormDocument is compliant. Select if any issues - Leave Choice Option Form
Employee Responsibility FormDocument is compliant. Select if any issues - Employee Responsibility Form
Form (D-26)
Offer Of Modified Duty FormDocument is compliant. Select if any issues - Offer Of Modified Duty Form
Pharmacies
Physical Assessment FormDocument is compliant. Select if any issues - Physical Assessment Form
Physical Characteristics FormDocument is compliant. Select if any issues - Physical Characteristics Form
Reporting Procedures 2020Document is compliant. Select if any issues - Reporting Procedures 2020
Supervisor's Accident Investigation FormDocument is compliant. Select if any issues - Supervisors Accident Investigation Form
Volunteer Calculator 2020 (Jan 2020 - Dec 2020)Document is compliant. Select if any issues - Volunteer Calculator 2020 (Jan 2020 - Dec 2020)
Volunteer, Inmate, Intern & Board Member Job Description 2020Document is compliant. Select if any issues - Volunteer, Inmate, Intern & Board Member Job Description 2020
Volunteer Insurance Coverage Change for Work Comp 2020Document is compliant. Select if any issues - Volunteer Insurance Coverage Change for Work Comp 2020
Volunteer Memo of Understanding 2020Document is compliant. Select if any issues - Volunteer Memo of Understanding 2020
Workers' Comp Statutory Timelines

Contact Information & Office Locations

All 2 contact points

Cannon Cochran Management Services (CCMSI)

Address:
PO Box 4990
Carson City, NV 89702

Phone numbers:

(775) 882-9600
(877) 243-1253 (Toll Free)

Fax numbers:

(775) 882-9601

Headquarters

Address:
201 S. Roop Street
Suite 201
Carson City, NV 89701