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400 West Main Street
Post Office Box 437
Havana, Illinois 62644-0437

Phone:
(309) 543-6631
(800) 331-0546

Fax:
(309) 543-6607

Click Here to E-Mail Us


Office Hours:
8 a.m. - 5 p.m. (Mon. - Fri.)







A History of the Agency

· Resources

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           Boiler & Machinery Insurance
           Customizable County Personnel Policy [DOC]
           Directions to PIIAI [PDF]
           Employee Census Form [XLS]
           Health Benefits Under the COBRA [PDF]
           Health Savings Accounts (HSAs) Information
           Dealing with Independent Contractors
           Insurance Terms Glossary
           Understanding Loss Control
           Sample Policy for Governmental Employers on Computer Usage [DOC]
           Illinois Senate Bill 1200 Information [TIF]
           Terrorism Insurance Information

      Ergonomics
           Ergonomics - Risk Factor Analysis
           Basic Ergonomics Presentation [PPT]

      Family & Medical Leave Act of 1993 (FMLA)
           Your Rights Under the FMLA of 1993 [PDF]
           Certification of Health Care Provider (Form WH-380) [PDF]
           Employer Response to Employee Request for Leave (Form WH-381) [PDF]
           County FMLA Policy [DOC]

      Health Insurance Portability & Accountability Act of 1996 (HIPAA)
           Summary of the HIPAA Privacy Rule [05.03] [PDF]
           HIPAA Q&A [06.99] [PDF]
           HIPAA Website - U.S. Dept. of Health & Human Services

      Occupational Safety & Health Administration (OSHA)
           26 OSHA Training Requirements
           26 Steps to a Successful OSHA Inspection
           OSHA Complaint Form [PDF]
                How to File a Complaint with OSHA
           OSHA Standards, Safety Programs, Misconceptions Presentation [PPT]
           OSHA 101 Forms [PDF] or [RTF]
           OSHA 200 Forms [PDF] or [RTF]
           OSHA 300, 300A Forms [XLS]
           OSHA 300, 300A, 301 Forms [PDF] or [XLS]

      Sexual Harassment
           Sexual Harassment Policy & Complaint Procedure [DOC]
           Sexual Harassment in the Workplace Presentation [PPT]

      Workers' Compensation
           Illinois Form 45: Employer's First Report of Injury [PDF]
                Attachment "E" (Form 45 Instructions) [PDF]
           Form A - Incident Report (Completed by Supervisor) [PDF]
           Form B - Injury Report (Completed by Injured Employee) [PDF]
           Form C - Medical Authorization (Completed by Injured Employee) [PDF]
           Form D - Witness Statement [PDF]
           Wage Statement Form [PDF]
           Illinois Form 85: Employer's Supplementary Report of Injury [PDF] or [XLS]
           Illinois Industrial Commission Handbook on Workers' Compensation and                Occupational Diseases [PDF]
           Illinois Workers' Compensation Act (Revised & Updated 08/09/01) [PDF]


© 2003-2006 Snedeker Risk Management, Ltd.  All rights reserved.    ·    The Client's Advocate [ www.clientsadvocate.com ]