Injured by a third party?  

Injured by a third party?   - (Forms/Publications)
Document Information
  Get help downloading & printing files.   How to complete a fillable form.
Title   Injured by a third party?   (152 KB PDF)
Description

Brochure: Summarizes the legal rights and options an injured worker has if a third-party action pertains to his/her workers' compensation claim. Includes the Third Party Election Form that must be completed by the worker. Note: The form must be printed, signed and mailed.

Detail
Form number F249-008-000
Availability
Order it
Keywords election, injured worker, injury, lawsuit, party, third, third party
Languages English , Spanish
Valid dates 09-2013
Contact information Third Party Claim Cost Recovery
Web pages Insurance for Business
Injured by a Third Party?

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.