Memorandum of Understanding

Memorandum of Understanding - (Forms/Publications)
Document Information
  Get help downloading & printing files.   How to complete a fillable form.
Title   Memorandum of Understanding (58 KB PDF)

Used by a self-insured employer to signify the employer's obligation and responsibilities in conjunction with providing an annuity as collateral for a total permanent disability claim.

Form number F207-129-000
Online only. See document above to download.
Keywords claims, disabled, memo, MOU, self insurance, self insurer, self-insurance, self-insurer, worker's compensation, workers compensation, workers' compensation
Languages English
Valid dates 12-1992
Contact information Self-Insurance
Web pages Self-Insured Employers
Insurance for Business

End of main content, page footer follows.

Access Washington official state portal

© Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.