Department of Labor and Industries Home Modification Acknowledgement of Responsibilities

Department of Labor and Industries Home Modification Acknowledgement of Responsibilities - (Forms/Publications)
Document Information
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Title Department of Labor and Industries Home Modification Acknowledgement of Responsibilities (64 KB DOC)
Description

Used by both workers and bidding contractors to read, sign and submit to L&I to verify that they have read, understand and accept their respective responsibilities in the home modification process.

Detail
Form number F247-003-000
Availability
Online only. See document above to download.
Keywords activities, activity, bid, bond, claims, construction, daily, funding, industrial insurance, inspection, license, lien, living, mobility, permit, proof, register, release, responsibility, safety, Vocational Counselor, volunteer, worker's compensation, workers compensation, workers' compensation
Languages English
Valid dates 12-2006
Contact information Vocational Resources
Sarah Martin - 360-902-4480 - masa235@LNI.wa.gov

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