Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

E.Y.E.S. Form

  1. Instructions

    Employees Yielding Effective Safety (E.Y.E.S.) is a program to help identify maintenance deficiencies noted in normal operations. If the deficiency is an emergency condition, please notify the necssary department: Public Works: 928-634-8033; Police: 92-634-4246. All Forms should be sent to the Human Resources/Risk Management Department. For questions, call 928-340-2713.

  2. Incentive

    Employees submitting E.Y.E.S. reports will be eligible for a quarterly drawing.

  3. Deficiencies (Check all that apply):

  4. Leave This Blank:

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