Workers' Compensation Filing Information
See also
| Document Information | ||
|---|---|---|
 Get help downloading & printing files.  How to complete a fillable form. |
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| Title |
Workers' Compensation Filing Information (A fillable form - 266 KB PDF)
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|
| Description | Used by only self-insured employers to comply with WAC 296-15-400. The form provides information and instructions to employees of self-insured employers in case of an injury or development of an occupational disease. |
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| Detail | ||
| Form number | F207-155-000 | |
| Availability | Online only. See document above to download. |
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| Keywords | espanol, industrial insurance, injured worker, injuries, instructions, required forms, self insurance, self insurer, self-insurance, self-insurer, spanish, worker's compensation, workers compensation | |
| Languages | English , Spanish | |
| Valid dates | 12-2012 | |
| Contact information |
Claims for Job Injuries
Self-Insurance |
|
| Web pages | Self-Insured Employers Insurance for Business |
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