Skip to Content | CAO Homepage

Alameda County Law Library Building
125 - 12th Street, 3rd Floor, Oakland, CA 94607 · 510-272-6920

• About Us
• Cost of Risk
  • Overview
  • Department Charge Calculations
  • State Controller’s Handbook
• Forms
  • Claims and Incident Reporting
  • Employee Safety
  • Insurance Requirements in Contracts
  • Occupational Health
  • Wellness
  • Worker’s Compensation
• Programs
  • Claims & Incident Reporting
  • Disability Retirement
  • Employee Assistance Program
  • Employee Safety
  • Employer Pull Notice Program
  • Insurance
  • Occupational Health Screenings
  • Volunteer Program
  • Wellness
  • Workers' Compensation
• Services
  • Services to County Departments
  • Services to the Community

RMU Home » Forms » Claims and Incident Reporting

• Forms
• Claims and Incident Reporting
• Employee Safety
• Insurance Requirements in Contracts
• Occupational Health
• Wellness
• Worker’s Compensation

Claims and Incident Reporting

• Claim Against the County of Alameda (PDF - 18kb)*
• County Vehicle Damage Reimbursement Request (Form 430300-5) (PDF - 81kb)*
• Employee's Claim for Loss or Damage to Personal Property or Personal Vehicle (Form 430300-4) (PDF - 91kb)*
• Property Loss Report (County of Alameda Property Only, Except Vehicles) (Form 430300-6) (PDF - 85kb)*
• Vehicle Accident/Vehicle Incident Report (Form 430300-1) (Word - 309kb)**
• County of Alameda Substitute IRS Form W-9 (DOCX - 50kb)*