| Title |
Type |
Number |
2007 Year in Review
Pamphlet: Provides a financial summary of Washington State's workers' compensation system, July 1, 2006, through June 30, 2007. This is the fourth Year in Review. In addition to the financial summary, it includes claim statistics and information about L&I's fraud prevention results. |
Publication
|
F200-013-000 |
A Guide to Hiring Independent Contractors in Washington State
Available in: Spanish
Pamphlet/booklet: Designed to help employers determine if their workers are employees or independents under Washington's workers' compensation, workplace safety, wage and hour and unemployment tax laws. Includes a short "test" and helpful references. |
Publication
|
F101-063-000 |
Audit Reference Card
Quick reference card: Answers questions employers may have about audits L&I conducts to verify the that workers' hours have been reported correctly and workers' compensation premiums have been calculated accurately. |
Publication
|
F214-020-000 |
Avoid Liability for Your Subcontractor's Unpaid Workers' Comp Premiums -Spanish (Las primas de compensación para trabajadores no pagadas por su subcontratista podrían ser su responsabilidad)
Available in: English
Fact sheet: Tells construction contactors how to protect themselves from liability for their subcontractor's unpaid workers' compensation premiums. |
Publication
|
F262-262-999 |
Avoid Liability for Your Subcontractor's Unpaid Workers' Comp Premiums
Available in: Spanish
Fact sheet: Tells construction contractors how to protect themselves from liability for their subcontractor's unpaid workers' compensation premiums. |
Publication
|
F262-262-000 |
Claim Suppression Complaint
Available in: Spanish
An injured worker may submit this form if their employer has suppressed their right to file an injury claim. |
Form
|
F262-024-000 |
Computing Worker Hours
Quick reference card: Shows employers how to figure workers' compensation premiums for different types of employees: hourly employees, salaried employees, commissioned personnel or employees paid for piecework |
Publication
|
F214-014-000 |
Discrimination Complaint
Available in: Spanish
Employees who believe they have been discriminated against by their employer may use this form to file a complaint. |
Form
|
F262-009-000 |
Electrical Inspection Witness Statement
Used to gather information from a person who was a witness to electrical work that is being investigated by L&I. |
Form
|
F500-087-000 |
Excluded and Exempt Employments
Quick reference card: Provides a list of employments excluded from workers' compensation coverage, including those eligible for optional coverage. |
Publication
|
F214-013-000 |
Guía para contratar Contratistas Independientes en el Estado de Washington
Available in: English
Pamphlet/booklet: Designed to help employers determine if their workers are employees or independents under Washington's workers' compensation, workplace safety, wage and hour and unemployment tax laws. Includes a short "test" and helpful references. |
Publication
|
F101-063-999 |
Help Fight Workers' Comp Fraud
Flier: Describes the New Hire Registry operated by the Department of Social and Health Services and how employers using it can help fight workers' compensation fraud. |
Publication
|
F200-006-000 |
Independent Contractors
Quick reference card: Provides information to help determine whether a "subcontractor" working for you meets the legal requirements to be an independent contractor, or whether he/she is actually a covered worker for workers' compensation (industrial insurance) purposes. |
Publication
|
F214-012-000 |
Investigation Report
To notify L&I on any electrical work that you think is illegal. |
Form
|
F500-076-000 |
Limited Liability Companies (LLC)
Quick reference card: Reviews the requirements for members or managers of limited liability companies to be exempt from workers' compensation (industrial insurance) coverage. |
Publication
|
F214-021-000 |
Queja Por Discriminación
Available in: English
Used by employees who believe they have been discriminated against by their employer may use this form to file a complaint.
|
Form
|
F262-009-999 |
Queja por Suprimir un Reclamo - Spanish - Claim Suppression Complaint
Available in: English
An injured worker may submit this form if their employer has suppressed their right to file an injury claim. |
Form
|
F262-024-999 |
Record Keeping
Quick reference card: Identifies the type of records employers, including construction contractors, need to keep to allow L&I to compute premiums. |
Publication
|
F214-011-000 |
Request for Contract Release
This is the form used by public agencies to request L&I’s approval to release retainage. All known contractors are to be listed on the request form. This form is used for L&I purposes only. Public agencies submit a different form to DOR to obtain approval from DOR and ESD. There are two files - am image only Adobe file and a fillable word document. |
Form
|
F215-038-000 |
Targeting Fraud and Abuse in Washington State's Worker's Compensation Program: 2005 Report to the Legislature
Booklet/pamphlet: Provides an overview of L&I's activities to deter and detect workers' compensation fraud and abuse by workers, employers and medical providers. Includes statistics on dollars collected and costs avoided. |
Publication
|
F262-251-000 |
Targeting Fraud and Abuse in Washington State's Workers Compensation Program: 2006 Report to the Legislature
Booklet/pamphlet: Provides an overview of L&I's activities to deter and detect workers' compensation fraud and abuse by workers, employers and medical providers. Includes statistics on dollars collected and costs avoided. |
Publication
|
F262-276-000 |
Targeting Fraud and Abuse in Washington State's Workers' Compensation Program: 2007 Report to the Legislature
Booklet/Pamphlet: Provides an overview of L&I's activities to deter and detect workers' compensation fraud and abuse by workers, employers and medical providers. Includes statistics on dollars collected and costs avoided. |
Publication
|
F262-280-000 |
Targeting Fraud and Abuse in Washington State's Workers' Compensation Program: 2008 Report to the Legislature
Booklet/Pamphlet: Provides an overview of L&I's activities to deter and detect workers' compensation fraud and abuse by workers, employers and medical providers. Includes statistics on dollars collected and costs avoided. |
Publication
|
F262-032-000 |
Workers' Comp Fraud Hurts YOU
Pamphlet: Explains the impacts of workers' comp fraud and L&I's efforts to prevent and find fraud by workers, employers, contractors, and medical providers. |
Publication
|
F262-279-000 |
Workers' Compensation Discrimination-English/Spanish (Discriminación porque se lesionó en su trabajo)
Fact sheet: Explains workers' legal right to file a workplace injury claim and how to file a complaint if discrimination has occurred. |
Publication
|
F262-249-909 |
Workers' Compensation Record Keeping and Reporting Guides
Packet: Contains eight quick reference cards covering topics related to workers' compensation record keeping and reporting. Topics include: computering worker hours, standard exception classifications, excluded employments and corporate officers. |
Publication
|
F212-222-000 |