Forms and Publications

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Address Change Request for Injured Workers  F242-388-000 (English)
 F242-388-999 (Spanish)
F245-392-000 Resource Utilization Group (RUG) Residential Care Services for L&I Injured Workers (In place of MDS 3.0 beginning October 1, 2010.)  F245-392-000 (English)
Help for Injured Workers of Self-Insured Employers  F207-213-000 (English)
 F207-213-999 (Spanish)
Injured Workers: Leaving Washington, But Still Need Treatment  F242-412-909 (English/Spanish)
Interpreter Services for Injured Workers and Crime Victims  F245-412-000 (English)
 F245-412-999 (Spanish)
Report of Accident - Injured Worker Instructions  F242-134-999 (Spanish)
Settling your injured worker's L&I claim: A new option for injured workers 50 and older  F240-004-000 (English)
Settling your L&I claim might be right for you: An option for injured workers 50 or older  F240-003-000 (English)
 F240-003-999 (Spanish)
Stay at Work: A new program to help employers keep injured workers on the job--pays half the wage plus expenses  F243-006-000 (English)
 F243-006-999 (Spanish)
Workers' Compensation Benefits: A Guide for Injured Workers  F242-104-000 (English)
 F242-104-999 (Spanish)





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