Vocational Providers Application and Notice

Vocational Providers Application and Notice - (Forms/Publications)
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Title Vocational Providers Application and Notice (A fillable form - 463 KB PDF)

Used to obtain a vocational provider account number with L&I. This form includes a copy of F248-036-000 "Request for Taxpayer ID number and Certification". (12 pages) CURRENT EXISTING VOCATIONAL PROVIDER FIRMS THAT ARE ALREADY REGISTERED WITH L&I USE THIS FORM AND W-9.

Form number F252-017-000
Online only. See document above to download.
Keywords Identification Number, industrial insurance, vocational, vocational provider
Languages English
Valid dates 01-2007
Contact information Vocational Resources
Related information

Job Modification Assistance Application

Pre-Job Accommodation Assistance Application

Individual Vocational Provider Account Change Form

Firm Vocational Provider Account Change

Employer's Job Description

Intent to Hire Preferred Worker
Intent to Hire Preferred Worker with Developmental Disabilities
Preferred Worker Employers Job Decsription

Request for Preferred Workers Status

Web pages For Vocational Counselors

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