Your search for "dependents" returned 10 documents.
| Title | Type | Number |
|---|---|---|
| A Guide to Hiring Independent Contractors in Washington State
Also 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 |
| Claim for Pension By Dependents
Also available in: Spanish Used by dependents of a deceased worker to file a claim for benefits. |
Form | F242-062-000 |
| Claim for Pension by Spouse or Children
Also available in: Spanish Used by a spouse or dependents of a deceased worker. The workers' fatal accident or occupational disease incurred in the course of their employment. This application is needed to determine if applicant(s) is/are entitled to a survivor benefit. |
Form | F242-056-000 |
| Claim for Pension by Spouse or Children - Spanish Reclamo para Pensión de Esposo(a) o Los Niños
Also available in: English Used by a spouse or dependents of a deceased worker. The workers' fatal accident or occupational disease incurred in the course of their employment. This application is needed to determine if applicant(s) is/are entitled to a survivor benefit. |
Form | F242-056-999 |
| Declaración De Derechos Para Dependiente Del Trabajador Fallecido Bajo El Programa De Compensación Y Beneficios Para Trabajadores
Also available in: English Used by a dependent of a worker whose death was related to an on the job injury or accident. This form must be completed, signed, notarized and returned to L&I within 30 days for non interruption of benefits. |
Form | F242-173-933 |
| Declaración De Derechos Para Padres O Tutor Bajo El Programa De Compensación Y Beneficios Para Trabajadores
Also available in: English Used by a guardian or other person having custody of the minor or disabled children or dependents of a deceased worker to declare their entitlement to receive the pension benefits for those children/dependents in their care and custody. |
Form | F242-173-922 |
| Declaration of Entitlement for Dependent of Deceased Worker Benefits Under Industrial Insurance
Also available in: Spanish Used by a dependent of a worker whose death was related to an on the job injury or accident. This form must be completed, signed, notarized and returned to L&I within 30 days for non interruption of benefits. |
Form | F242-173-333 |
| Declaration of Entitlement for Guardian Benefits under Industrial Insurance
Also available in: Spanish Used by a guardian or other person having custody of the minor or disabled children or dependents of a deceased worker to declare their entitlement to receive the pension benefits for those children/dependents in their care and custody. |
Form | F242-173-222 |
| Guía para contratar Contratistas Independientes en el Estado de Washington
Also 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 |
| Reclamo for Pensión por Dependientes
Also available in: English Used by dependents of a deceased worker to file a claim for benefits. |
Form | F242-062-999 |
Please take this survey to help improve the L&I website.
Take survey
(About 3 minutes)
© Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.