Georgetown Human Resources

Safety and Risk Online Forms

Notice of Claim
If you would like the Safety & Risk department to contact you about a claim you wish to file with the City of Georgetown for damages, please fill the below form

Notice of Claim
Vehicle Incident & Insurance Card
If you are a City of Georgetown employee and you have had a vehicle incident involving a non-city vehicle, please fill the below form.

Vehicle Incident Form Insurance Card
Incident Report
Employees, in the event of an incident that needs to be documented please fill the appropriate form and add detailed information about the incident.

Supervisor’s Incident Report Employee¬†Incident Report Witness Statement Report
Employee COVID Notification Form
City employee only notification of  COVID symptoms, exposure, or positive test

COVID Notification Form
Injury Leave Expectation Form
City of Georgetown Workers Compensation
Employee Moving Violation Form

For questions please contact safety@georgetown.org

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