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:

2015 Workplace Safety and Health Calendar: Preventing Sprains and Strains - Washington's Leading Workplace Injury
Publication
F417-251-000  
Amendment of Irrevocable Standby Letter of Credit
Form
F207-112-111  
Employment History Form
Form
F242-109-000

World Language(s):
Español  
First Aid
Sticker
FSP1-005-000  
Hearing Services Worker Information
Form
F245-049-000  
Injured by a third party?  
Form
F249-008-000

World Language(s):
Español  
Injured by a third party?  
Publication
F249-008-000

World Language(s):
Español  
Instructor's Report of Accident / Incident
Form
F100-509-000  
Job Modification Assistance Application
Form
F245-346-000

World Language(s):
Español  
Know What to Expect: How Recoveries and Settlements May Impact Your Crime Victim Claim
Publication
F800-074-000  
Notice to Attending Physician of Apprentice / On-the-Job-Training Accident / Incident
Form
F100-511-000  
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  
Pension and Survivor Benefits in Washington State's Workers' Compensation Program
Publication
F242-352-909  
Physical Therapy / Occupational Therapy Progress Report to Claim Managers
Form
F245-059-000  
Pocket Guide to Worker Rights
Publication
F101-165-909

World Language(s):
Inglés  
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  
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-NTL
Form
F207-165-000

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  
Self-Insurer Accident Report (SIF-2)
Form
F207-002-000  
Self-Insurer Accident Report (SIF-2)
Form
F207-002-000  
SIF-5A Cover Sheet: Wage Calculations
Form
F207-156-000  
Stay at Work Expense Reimbursement Application for Employers Tools, Clothing, Training.
Form
F243-003-000  
Stay at Work Wage Reimbursement Application for Employers
Form
F243-001-000  
Supervisor's Report of an Accident
Form
F417-048-000  
Termination of Agreement (Rescission)
Form
F245-050-000  
Washington State Top 25 Hazardous Industries, 2008 to 2012
Publication
F417-258-000  
Workplace Safety and Health Pocket Guide
Publication
F417-241-000  
Workplace Safety and Health Pocket Guide
Publication
F417-241-000  
¿Lesionado por un tercero? Usted tiene opciones legales
Form
F249-008-999

World Language(s):
Inglés  
¿Lesionado por un tercero? Usted tiene opciones legales
Publication
F249-008-999

World Language(s):
Inglés  
Cómo hacer la mejor elección de tratamiento para el dolor crónico en la parte inferior de su espalda
Publication
F252-081-999

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

World Language(s):
Inglés  
Cuando un ser querido fallece en el lugar de trabajo
Publication
F417-240-999

World Language(s):
Inglés  
Ergonomics Consultation: Free, Confidential, Powerful Impact on Your Bottom Line
Publication
F417-233-000  
Formulario de historial de empleo
Form
F242-109-999

World Language(s):
Inglés  
Frequently Asked Questions about Job Modifications
Publication
F245-057-000  
Getting Back to Work: It's Your Job and Your Future
Publication
F200-001-000

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

World Language(s):
Inglés
Español  
How to Protest a Department of Labor and Industries Decision / Cómo protestar una decisión en su reclamo del Departamento de Labor e Industrias (English/español)
Publication
F242-363-909  
Making the Best Treatment Choice for Your Chronic Low-back Pain
Publication
F252-081-000  
Notificación de decisión de cierre con discapacidad parcial permanente para empleadores autoasegurados - DISCAPACIDAD PARCIAL PERMANENTE (PPD) - SIN TIEMPO PERDIDO (NTL)
Form
F207-165-999

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 únicamente médicos para empleadores autoasegurados
Form
F207-020-999

World Language(s):
Inglés  
Regresando a trabajar es su trabajo y su futuro
Publication
F200-001-999

World Language(s):
Inglés  
Report All Injuries Promptly
Poster
FSP1-004-000

World Language(s):
Español  
Report All Injuries Promptly
Poster
FSP1-004-999

World Language(s):
Inglés  
SIF-4 Self Insured Employer's Request for Denial of Claim
Form
F207-163-000  
Su cuerpo, su empleo: prevención del síndrome del túnel carpiano y otros trastornos músculo esqueléticos de las extremidades superiores
Publication
F413-024-999

World Language(s):
Inglés  
When a Loved One Dies at Work
Publication
F417-240-000

World Language(s):
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