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Reporting an Accident or Incident Involving Employees or City Property

  1. The City of Watauga is part of the Texas Municipal League Intergovermental Risk Pool (TMLIRP). When an incident occurs involving City property, or occurrs at any City facility the City Secretary's Office must act quickly to ensure all necessary documentation is gathered, processed and filed in an efficient and prompt manner. Please submit this form to the City Secretary's Office, within 48 hours of the occurrence. Please include any reports, incident reports, pictures, or statements which may assist the City Secretary's Office in processing the claim.

    THIS FORM IS NOT FOR REPORTING AN INCIDENT TO HUMAN RESOURCES.


  2. Is the damage estimated to be over $2,500?*

  3. Were there any non-employee injuries?*

  4. Please upload any pertinent accident/incident reports, pictures or statements.

    NOTE: If employees have witnessed the occurrence, please provide a statement describing what you witnessed. Please upload the statement below.



  5. Leave This Blank:

  6. This field is not part of the form submission.