Forms and Publications

Search by:   for     

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



Results for: Most Requested
Title Number / Language
Show:  
Application for Agent On-Line Insurance Entry Account  F625-110-000 (English)
Application for Group Membership & Authorization for Release of Insurance Data  F250-016-000 (English)
Application for Self-Insurance Certification  F207-001-000 (English)
Assignment of Account or Time Deposit for Insurance - Bodily Injury - WA State Banks Only  F625-082-000 (English)
Assignment of Account or Time Deposit for Insurance - Property Damage - WA State Banks Only  F625-083-000 (English)
Declaration of Entitlement for Dependent of Deceased Worker Benefits Under Industrial Insurance  F242-422-000 (English)
 F242-422-999 (Spanish)
Declaration of Entitlement for Totally Disabled Worker Benefits Under Industrial Insurance  F242-423-000 (English)
 F242-423-999 (Spanish)
Employers' Guide to Self-Insurance in Washington State  F207-079-000 (English)
Employers' Guide to Workers' Compensation Insurance in Washington State  F101-002-000 (English)
 F101-002-999 (Spanish)
Industrial Insurance Discrimination Complaint  F262-009-000 (English)
 F262-009-999 (Spanish)
Preparing for Your Self-Insurance Audit  F207-110-000 (English)
Self Insurance Continuing Education Report of Course Completion  F207-191-000 (English)
Self Insurance Continuing Education Sponsor/Instructor Application for Course Approval  F207-192-000 (English)
Self-Insurance Certification Questionnaire  F207-176-000 (English)
Self-Insurance Continuing Education Application for Course Approval and Attendance  F207-206-000 (English)
Self-Insurance Electronic Data Reporting System (SIEDRS) Enrollment Form  F207-193-000 (English)
Self-Insurance Electronic Data Reporting System (SIEDRS): Enrollment Package 2.0  F207-194-000 (English)
Self-Insurance Medical Provider Billing Dispute Form  F207-207-000 (English)
Self-Insurance Option 2 Vocational Services Summary Form  F280-064-000 (English)
Self-Insurance Report of Occupational Injury or Disease (SIF-5)  F207-005-000 (English)
Self-Insurance Vocational Reporting Form  F207-190-000 (English)
Self-Insurance Vocational Services Closing Cover Sheet  F207-171-000 (English)
Self-Insured Employer Certificate of Excess Insurance  F207-095-000 (English)
SIEDRS (Self-Insurance Electronic Data Reporting System) Data Change Request  F207-197-000 (English)
Temporary Services Guide to Workers' Compensation Insurance  F213-019-000 (English)
The Best Accident Insurance - To observe all safety regulations  FSP0-915-000 (English)





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