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Employer's First Report of Work-Related Injury / Illness

The attached file is the Employer's First Report of Work-Related Injury/Illness with Instructions from the State of New York - Workers' Compensation Board.

Fillable C-2F form (download) from the Workers' Compensation Board website.
Workers Compensation - Form C2F Document

Health Insurance Plan Document

The Cattaraugus County Health Insurance Plan document was adopted on January 1, 2011 and updated on 12/2/2016.

If you have specific questions please contact the Employee Benefit Assistant at (716) 938-2285.

Health Insurance Plan Document

Request for Door Access Form

The attached form "Request for Door Access Form" is for Cattaraugus County Employees to request access to Cattaraugus County Facilities.

Request for Door Access Form

Workplace Violence Incident Report Form

The attached form must be used to document any reportable workplace violence incident.

  • For any Level I incident, an employee must report the incident to the Department Head within 48 hours of the occurrence.
  • For all Level II and Level Ill incidents, the incident must be reported immediately.
Workplace Violence Incident Report Form

The Department Head is responsible for completing and forwarding this formto the Human Resources Director and/or Safety Engineer within the same timeframes.


Workplace Violence Prevention Program

The following file is the Cattaraugus County Workplace Violence Prevention Program.

Adopted by Resolution of the County Legislature on April 13, 2011 and revised on August 15, 2016.

Workplace Violence Prevention Program