Self-Insurer Accident Report (SIF-2)

Document Information
  How to complete a fillable form.
Title Self-Insurer Accident Report (SIF-2)

Provided to workers by the self-insured businesses or their third party claims administrators to report an industrial injury or occupational disease. This form is not on the internet. If you are an injured worker, ask your employer for a copy of this form. Self-insured businesses or their third party claims administrators may order copies of this form. Cllick the "order It" button below to order paper copies or request the form in MSWord.

Document number F207-002-000
How to get this document
  • Order it from our Warehouse
  • Alt Language(s)
    Valid dates 01/2013
    Contact information Self-Insurance

    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.