Get a Form or Publication: cost

Your search for "cost" returned 22 documents.

Title Type Number
Request for Manuals from Claims Training

Fillable form to purchase the Workers’ Compensation Adjudicator (WCA), Claims Management (CM), and Policy Manuals (all 3 manuals on 1 CD) the costs will be added up automatically, the total amount enclosed column will be the amount you need to send as payment.

Form F241-021-000
Third Party Recovery Worksheet

Used by third party attorneys to calculate distribution of proposed settlements in third party claims.

Form F249-006-111
Training Plan Cost Encumbrance

To record the training costs. For use only with plans approved after 1/1/2008.

Form F245-374-000
Transportation Cost Encumbrance

To record the costs for transportation. For use only with plans approved after 1/1/2008.

Form F245-375-000
2008 Annual Report for the Washington State Fund: Washington's State-run Workers' Compensation Program

Book: Introduces Washington State's Workers' Compensation Program, including rate-setting and investment policies, financial statement overview, and services available to help employers control workers' comp costs.

Publication F101-086-000
Affidavit of Wages Paid EHB 2805 Addendum

F700-164-000 is an addendum to your Affidavit of Wages Paid Form. RCW 39.04.370 requires you to complete form F700-164-000 if the prime contract is at a cost of over one million dollars ($1,000,000). If you fail to properly provide the requested information more than one time between September 1, 2010 and December 31, 2013, pursuant to RCW 39.04.350(1)(f) you will not be considered a responsible bidder qualified to be awarded a public works project. Use as many of these forms as you need in order to provide the requested information for all relevant project items. This is an addendum to form F700-007-000.

Form F700-164-000
Challenging Times Demand Our Best

Booklet: Describes how L&I is making changes, both big and small, to better serve our customers and operate efficiently. Three areas of focus are fighting fraud, putting customers first and cutting costs. Features stories about three customers L&I has helped.

Publication F101-095-000
Cholinesterase Monitoring Reimbursement Request

Employers use this form to request reimbursement for the reasonable costs of training, travel, recordkeeping, and medical expenses for Cholinesterase Monitoring.

Form F413-062-000
Comparing Career Pathways

Fact sheet: Assists high school students and their parents by comparing the benefits of registered apprenticeship to a traditional university or college program. Compares wages, costs, and length of study.

Publication F100-531-000
Employers’ Guide to Workers’ Compensation Insurance in Washington State

Book: Explains the Washington State's workers' compensation program. Suggests ways to protect workers' safety and health and describes L&I programs to help employers control premium costs.

Publication F101-002-000
Frequently Asked Questions about Job Modifications

Fact sheet: Answers questions employers, workers and doctors may have about job modifications, including when to request a job-modification consultant and who pays for the costs involved.

Publication F245-057-000
Housing and Board Cost Encumbrance

To record the costs for housing and board. For use only with plans approved after 1/1/2008.

Form F245-372-000
Is Retrospective Rating Right for You?

Pamphlet: Provides information about L&I's Retrospective Rating Program. In Retro, employers can earn a partial refund of workers' compensation premiums if they reduce workplace injuries and lower associated claim costs.

Publication F250-006-000
Reduce Your Costs at No Cost

Pamphlet: Introduces free workshops to help employers prevent workplace injuries and control workers' compensation costs. Includes course descriptions, where you can find current schedules, and how to register.

Publication F416-036-000
Social Security Offset Calculations Only Quarterly Statement of Supplemental Benefits Paid for Self-Insured Employers

Used by self-insured employers to request reimbursement from L&I for cost-of-living-adjustments paid to injured workers.

Form F207-011-222
Student Volunteers and Workers' Compensation Coverage

Fact sheet: Covers availability, limitations and cost of Washington State's optional workers' compensation coverage for student volunteers.

Publication F213-023-000
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
Targeting Fraud and Abuse in Washington State's Workers' Compensation Program: 2009 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 for fiscal year 2009.

Publication F262-034-000
Targeting Fraud and Abuse in Washington State's Workers' Compensation Program: 2010 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 for fiscal year 2010.

Publication F262-044-000

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