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Risk Management
View the City of Richmond Sample Insurance Certificate & Endorsements documents (pdf).
View the ACCORD Certificate 25-S Sample Insurance w/ Instructions.
Contractors or vendors can fill out the Contractor's Release of Liability Form.
WORKERS' COMPENSATION
Workers' Compensation Information and Forms
- Employers Report of Occupational Injury or Illness Form 5020
- Ergonomic Workstation Request Form
- Supervisors Report of Employee Injury Form
- Workers' Compensation Claim Form (DWC 1)
- Employee Notification of Rights
- Notificación de los Derechos del Empleado
City of Richmond Insurance Requirements
- Consultants and Contractors - Type 1
- Professional Services - Type 2
- Environmental Risk/Hazardous Waste Material - Type 3
- Lease of City Property - Type 4
- Vendors, Suppliers, Small Grant Recipients, & Nonprofit Organizations - Type 5
- Transportation Providers - Type 6
- Professional Services Pyrotechnics- Type 7
- Cyber and I.T. Risks- Type 8
International Association of Fire Fighters (IAFF) LOCAL 188
- Workers' Compensation Alternative Dispute Prevention and Resolution Program Agreement - IAFF Local 188
- Evaluating Physicians List
- Medical Provider Network (MPN)