Report of Accident Instructions -- Spanish Instrucciones para el Reporte de Accidente

Document Information
  Get help downloading & printing files.   How to complete a fillable form.
Title   Report of Accident Instructions -- Spanish Instrucciones para el Reporte de Accidente (192 KB PDF)
Description

Instrucciones para el Reporte de Accidente (Lesión en el trabajo, accidente o enfermedad ocupacional). This information provides instructions in Spanish for completing the F242-130-000 Report of Accident version dated 10-2012. The F242-130-000 form is in English. Use this link to order the instructions from the warehouse. http://www.lni.wa.gov/ClaimsIns/Providers/FormPub/ROA/OrderROA.asp

Detail
Form number F242-130-999
Availability
Order it
Keywords claim, espanol, spanish
Languages Spanish , English
Valid dates 10-2012
Contact information
Web pages Workers' Comp Claims

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.