Forms and Publications

Search by:   for     

Browse By Subject  |  Most Requested  |  Required L&I Workplace Posters  |  Spanish Language Documents  |  Show all L&I Forms/Pubs


View:    Sort by:       
Title:

Type:

L&I Benefits for Workers Who Are Terminally Ill
Publication
F252-094-000  
Notice of Occupational Disease or Infection
Form
F242-243-000  
Occupational Disease & Employment History
Form
F242-071-000

World Language(s):
Español  
Occupational Disease Work History - Continuation
Form
F242-071-111

World Language(s):
Español  
Occupational Disease Work History - Continuation
Form
F242-071-111

World Language(s):
Español  
Occupational Hearing Loss Questionnaire
Form
F262-016-000

World Language(s):
Español  
Provider's Initial Report (PIR)
Form
F207-028-000  
Provider's Initial Report (PIR)
Form
F207-028-000  
Report of Accident (ROA) Workplace Injury, Accident or Occupational Disease
Form
F242-130-000

World Language(s):
Español  
Report of Accident (ROA) Workplace Injury, Accident or Occupational Disease
Form
F242-130-000

World Language(s):
Español  
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-Insurer Accident Report (SIF-2)
Form
F207-002-000  
WISHA Occupational Exposure to Bloodborne Pathogens - Chapter 296-823 WAC
Manual
F414-073-000  
Continuación del Historial de Trabajo y de Enfermedad Ocupacional
Form
F242-071-911

World Language(s):
Inglés  
Continuación del Historial de Trabajo y de Enfermedad Ocupacional
Form
F242-071-911

World Language(s):
Inglés  
Cuestionario sobre la pérdida del sentido auditivo en el trabajo
Form
F262-016-999

World Language(s):
Inglés  
Historial de trabajo (enfermedad ocupacional)
Form
F242-071-999

World Language(s):
Inglés
Español  
Historial de trabajo (enfermedad ocupacional)
Form
F242-071-999

World Language(s):
Inglés
Español  





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.

Help us improve