Order Report of Accident (ROA) forms

For providers only. Use this online form to order Report of Industrial Injury or Occupational Disease (Report of Accident) paper forms.

Warehouse Order Request
Order Form
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Customers located within the United States can use the form below to order ROA forms. Others should send their request by email to whsemail@lni.wa.gov. Please do not call the warehouse to order this form.

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