Home
Life & Health
Municipal Insurance
Property & Casualty
Personal Insurance
Resources
Links
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
To access some of our files, you will need a user name and password.
Click Here
to send an e-mail requesting the user name and password.
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 ]