Application for Loss of Earning Power (LEP) - Vocational


Document Information
  Get help downloading & printing files.   How to complete a fillable form.
Title Application for Loss of Earning Power (LEP) - Vocational
Description

Completion of this form is not a guarantee of benefits. Payment of benefits will be decided by your claim manager.

Document number F242-209-000
How to get this document
  • Download (160 KB Fillable PDF) 
  • Not available in print
Keywords L.E.P., vocational
Alt Language(s) English/Español , Español
Valid dates 12/2004
Contact information
Websites

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.