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A Guide to Workers' Compensation Benefits For Employees of Self-Insured Businesses
Publication
F207-085-000

World Language(s):
Español  
A Guide to Workers' Compensation Benefits For Employees of Self-Insured Businesses
Publication
F207-085-000

World Language(s):
Español  
Affidavit for Time Loss Compensation Benefits
Form
F242-395-000

World Language(s):
Español  
Affidavit for Time Loss Compensation Benefits
Form
F242-395-000

World Language(s):
Español  
Affidavit for Time Loss Compensation Benefits
Form
F242-395-000

World Language(s):
Español  
Application for Accreditation Cranes/Derricks and other Material Handling Devices
Form
F416-063-000  
Application for Benefits - Crime Victims
Form
F800-042-000

World Language(s):
Español  
Application to Reopen Crime Victim Claim Due to Worsening of Condition
Form
F800-031-000

World Language(s):
Español  
Application to Reopen Crime Victim Claim Due to Worsening of Condition
Form
F800-031-000

World Language(s):
Español  
Billing Guidelines for Sexual Assault Examinations: Crime Victims Compensation Program
Manual
F800-100-000  
Billing Guidelines for Sexual Assault Examinations: Crime Victims Compensation Program
Manual
F800-100-000  
Certified Project Payroll
Form
F700-065-000  
Crime Victim Compensation Program Sexual Assault Exam Report
Form
F800-098-000  
Crime Victims Address Change Request
Form
F800-112-000  
Crime Victims Address Change Request
Form
F800-112-000  
Crime Victims Compensation Subacute Opioid Request Form
Form
F800-119-000  
Crime Victims Compensation Subacute Opioid Request Form
Form
F800-119-000  
Crime Victims Direct Entry Billing Manual
Manual
F800-118-000  
Crime Victims Direct Entry Billing Manual
Manual
F800-118-000  
Crime Victims Provider's Request for Adjustment
Form
F800-064-000  
Crime Victims' Statement for Compound Prescription
Form
F800-067-000  
Crime Victims' Statement for Compound Prescription
Form
F800-067-000  
Crime Victims' Statement for Compound Prescription
Form
F800-067-000  
Crime Victims' Statement for Compound Prescription
Form
F800-067-000  
CVCP Opioid Progress Report Chronic, Non-Cancer Pain and Treatment Agreement.
Form
F800-116-000  
CVCP Opioid Progress Report Chronic, Non-Cancer Pain and Treatment Agreement.
Form
F800-116-000  
Help for Crime Victims (large poster)
Poster
F800-041-000

World Language(s):
Español  
Help for Crime Victims (large poster)
Poster
F800-041-000

World Language(s):
Español  
Help for Crime Victims (large poster)
Poster
F800-041-000

World Language(s):
Español  
Help for Crime Victims (small poster)
Poster
F800-104-000

World Language(s):
Español  
Help for Crime Victims (small poster)
Poster
F800-104-000

World Language(s):
Español  
Help for Crime Victims (small poster)
Poster
F800-104-000

World Language(s):
Español  
Help for Crime Victims (small poster)
Poster
F800-104-000

World Language(s):
Español  
Independent Medical Exam Doctor's Estimate of Physical Capacities
Form
F242-387-000  
Independent Medical Exam Template
Form
F245-058-000  
Interpreter Services for Injured Workers and Crime Victims
Publication
F245-412-000

World Language(s):
Español  
Know What to Expect: How Recoveries and Settlements May Impact Your Crime Victim Claim
Publication
F800-074-000  
Medical Examiners' Handbook
Publication
F252-001-000  
Minimum Wage Law - Truck Drivers
Publication
F700-095-000  
Non-Network Provider Application
Form
F248-011-000  
Notice of Independent Medical Exam No-Show or Late Cancellation
Form
F245-382-000  
Provider Change Form for Crime Victims Compensation
Form
F800-089-000  
Reassignment of Savings Account or Time Deposit - Electrical Contractor
Form
F500-072-000  
Self-Insurance Report of Occupational Injury or Disease (SIF-5)
Form
F207-005-000  
Self-Insurance Report of Occupational Injury or Disease (SIF-5)
Form
F207-005-000  
Self-Insured Employers' Medical Only Claim Closure Order and Notice
Form
F207-020-111

World Language(s):
Español  
Self-Insured Employers' Permanent Partial Disability Closure Order and Notice - PPD-TL
Form
F207-164-000

World Language(s):
Español  
Self-Insured Employers' Permanent Partial Disability Closure Order and Notice - PPD-TL
Form
F207-164-000

World Language(s):
Español  
Self-Insured Employers' Time Loss Claim Closure Order and Notice
Form
F207-070-000

World Language(s):
Español  
SIF-5A Cover Sheet: Wage Calculations
Form
F207-156-000  
SIF-5A Cover Sheet: Wage Calculations
Form
F207-156-000  
Standard Hand Signals for Cranes
Poster
FSP0-910-000  
Statement for Crime Victim Miscellaneous Services
Form
F800-076-000  
Statewide Payee Registration and W-9 Form Crime Victims
Form
F800-065-000  
Travel Reimbursement Request - Crime Victims
Form
F800-049-000  
Victim Verification Form
Form
F800-110-000

World Language(s):
Español  
Victim Verification Form
Form
F800-110-000

World Language(s):
Español  
Victim Verification Form
Form
F800-110-000

World Language(s):
Español  
Victim Verification Form
Form
F800-110-000

World Language(s):
Español  
Washington State OverTime Law
Publication
F700-079-000  
Work Status Form (formerly Worker Verification Form)
Form
F242-052-000

World Language(s):
Español  
Work Status Form (formerly Worker Verification Form)
Form
F242-052-000

World Language(s):
Español  
Address Change Request for Injured Workers
Form
F242-388-000

World Language(s):
Español  
Address Change Request for Injured Workers
Form
F242-388-000

World Language(s):
Español  
Address Change Request for Injured Workers
Form
F242-388-000

World Language(s):
Español  
Address Change Request for Injured Workers
Form
F242-388-000

World Language(s):
Español  
Ayuda para víctimas de crimen
Poster
F800-104-999

World Language(s):
Inglés  
Ayuda para víctimas de crimen
Poster
F800-104-999

World Language(s):
Inglés  
Ayuda para víctimas de crimen (cartel grande)
Poster
F800-041-999

World Language(s):
Inglés  
Ayuda para víctimas de crimen (cartel grande)
Poster
F800-041-999

World Language(s):
Inglés  
Declaración firmada para compensación de tiempo perdido
Form
F242-395-999

World Language(s):
Inglés  
Declaración firmada para compensación de tiempo perdido
Form
F242-395-999

World Language(s):
Inglés  
Formulario de estado de empleo (Formulario de verificación de empleo)
Form
F242-052-999

World Language(s):
Inglés  
Formulario de estado de empleo (Formulario de verificación de empleo)
Form
F242-052-999

World Language(s):
Inglés  
Formulario de verificación de empleo
Form
F800-110-999

World Language(s):
Inglés  
Formulario de verificación de empleo
Form
F800-110-999

World Language(s):
Inglés  
Formulario de verificación de empleo
Form
F800-110-999

World Language(s):
Inglés  
Formulario de verificación de empleo
Form
F800-110-999

World Language(s):
Inglés  
Formulario de verificación de empleo
Form
F800-110-999

World Language(s):
Inglés  
Guía del Empleador para el Seguro de compensación para trabajadores en el Estado de Washington
Publication
F101-002-999

World Language(s):
Inglés  
Help for Victims of Crime / Ayuda para víctimas de crimen (English/español)
Publication
F800-006-909  
Help for Victims of Crime / Ayuda para víctimas de crimen (English/español)
Publication
F800-006-909  
Help for Victims of Crime / Ayuda para víctimas de crimen (English/español)
Publication
F800-006-909  
Helping Providers Understand the Crime Victims Compensation Program
Publication
F800-102-000  
Helping Providers Understand the Crime Victims Compensation Program
Publication
F800-102-000  
Helping Providers Understand the Crime Victims Compensation Program
Publication
F800-102-000  
Hotline Tips for Medical Services Providers
Publication
F248-040-000  
Master Level Counselor Provider Account Application for Crime Victims
Form
F800-053-000  
Notificación de decisión de cierre con discapacidad parcial permanente para empleadores autoasegurados -DISCAPACIDAD PARCIAL PERMANENTE (PPD) - CON TIEMPO PERDIDO (NTL)
Form
F207-164-999

World Language(s):
Inglés  
Notificación de decisión de cierre con discapacidad parcial permanente para empleadores autoasegurados -DISCAPACIDAD PARCIAL PERMANENTE (PPD) - CON TIEMPO PERDIDO (NTL)
Form
F207-164-999

World Language(s):
Inglés  
Notificación de decisión de cierre para reclamos de tiempo perdido para empleadores autoasegurados
Form
F207-070-999

World Language(s):
Inglés  
Notificación de decisión de cierre para reclamos de tiempo perdido para empleadores autoasegurados
Form
F207-070-999

World Language(s):
Inglés  
Notificación de decisión de cierre para reclamos únicamente médicos para empleadores autoasegurados
Form
F207-020-999

World Language(s):
Inglés  
Queja sobre el permiso de ausencia protegida
Form
F700-144-999

World Language(s):
Inglés  
Request for Survivor Counseling Benefits / Solicitud para beneficios de apoyo para los sobrevivientes (English/español)
Form
F800-057-909  
Servicios de intérprete para trabajadores lesionados y víctimas de crimen
Publication
F245-412-999

World Language(s):
Inglés  
Solicitud para cambio de dirección para trabajadores lesionados
Form
F242-388-999

World Language(s):
Inglés  
Solicitud para cambio de dirección para trabajadores lesionados
Form
F242-388-999

World Language(s):
Inglés  
Solicitud para reabrir un reclamo debido al empeoramiento de la condición
Form
F800-031-999

World Language(s):
Inglés  
Su examen médico independiente
Form
F245-224-999

World Language(s):
Inglés  
Su examen médico independiente
Publication
F245-224-999

World Language(s):
Inglés  
Su examen médico independiente: para empleadores de negocios autoasegurados
Publication
F207-202-999

World Language(s):
Inglés  
What You Need to Know if You Don't Get Paid: A Worker's Guide to the Washington State Wage Payment Act / Lo que necesita saber si no recibe su pago: una guía para el trabajador de la ley del pago de salario del estado de Washington (English/español)
Publication
F700-153-909  
Your Independent Medical Exam: For Employees of Self-Insured Businesses
Publication
F207-202-000

World Language(s):
Español  





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