Get a Form or Publication: members

Your search for "members" returned 21 documents.

Title Type Number
Apprenticeships For Tribal Members

 

Brochure: Designed for tribal members, this brochure provides an overview of apprenticeship. Topics include the benefits of apprenticeship, career options, how to apply and contact information.

 

Publication F100-532-000
Contractor Registration Officers/Members Addendum

Contractor Registration Officers/Members Addendum

Form F625-109-000
If Family Members Work for You, Know Your Obligations (English/Spanish) - Conozca sus Obligaciones Cuando Miembros de su Familia Trabajan para Usted
Also available in: English/Chinese, English/Korean, English/Russian, English/Thai, English/Vietnamese

Fact sheet: Provides an overview and resources to know your obligations when you have family members working for you. Relatives, including children, must be treated as employees with the same rights as any other paid worker in the state of Washington.

Publication F101-077-909
If Family Members Work for You, Know Your Obligations (English/Thai)
Also available in: English/Spanish, English/Chinese, English/Korean, English/Russian, English/Vietnamese

Fact sheet: Provides an overview and resources to know your obligations when you have family members working for you. Relatives, including children, must be treated as employees with the same rights as any other paid worker in the state of Washington.

Publication F101-077-303
When a Loved One Dies at Work - Spanish (Cuando un ser querido fallece en el lugar de trabajo)
Also available in: English

Brochure: Provides information to loved ones of workers who died from a job-related injury or illness, including how to apply for survivor benefits. Explains the L&I fatality investigation and how family members can stay informed of the investigation's status.

Publication F417-240-999
Application for Group Membership & Authorization for Release of Insurance Data

Used by employers who want to join a retrospective rating group; also, to authorize Labor & Industries to release the employers' insurance data to the retrospective rating group they want to join.

Form F250-016-000
Apprenticeship Committee Representative Qualification Information Experience & Education History

Supplys the experience and education history of new committee members to ensure that they are qualified to be committee members. Used for New Standard submissions only.

Form F100-528-000
Electrical Telecommunication Principal Member Owner Update Request

Electrical Telecommunication Principal Member Owner Update Request

Form F500-124-000
Evaluating Retro Groups

Fact sheet: Provides information to employers who are considering joining a Retrospective Rating (Retro) group and how to choose one that best fits the need of their company. Explains the process for enrollment, deadlines, group eligiblilty, assesment, distribution of funds, dues, fees, services, and exit clauses.

Publication F225-019-000
Group vs. Individual Retrospective Rating Participation

Fact sheet: Provides information to employers interested in the Retrospective Rating Program who want to compare group vs. individual participation. Explains the differences in minimum premium amount, fees, services, refund potential, choice, and risk. Also includes contact information for enrolling.

Publication F225-016-000
If Family Members Work for You, Know Your Obligations (English/Chinese)
Also available in: English/Spanish, English/Korean, English/Russian, English/Thai, English/Vietnamese

Fact sheet: Provides an overview and resources to know your obligations when you have family members working for you. Relatives, including children, must be treated as employees with the same rights as any other paid worker in the state of Washington

Publication F101-077-808
If Family Members Work for You, Know Your Obligations (English/Korean)
Also available in: English/Spanish, English/Chinese, English/Russian, English/Thai, English/Vietnamese

Fact sheet: Provides an overview and resources to know your obligations when you have family members working for you. Relatives, including children, must be treated as employees with the same rights as any other paid worker in the state of Washington.

Publication F101-077-707
If Family Members Work for You, Know Your Obligations (English/Russian)
Also available in: English/Spanish, English/Chinese, English/Korean, English/Thai, English/Vietnamese

Fact sheet: Provides an overview and resources to know your obligations when you have family members working for you. Relatives, including children, must be treated as employees with the same rights as any other paid worker in the state of Washington.

Poster F101-077-404
If Family Members Work for You, Know Your Obligations (English/Vietnamese)
Also available in: English/Spanish, English/Chinese, English/Korean, English/Russian, English/Thai

Fact sheet: Provides an overview and resources to know your obligations when you have family members working for you. Relatives, including children, must be treated as employees with the same rights as any other paid worker in the state of Washington.

Publication F101-077-505
Keys to Retro Success

Fact sheet: Provides information to employers who are considering joining a Retrospective Rating (Retro) group.Contains questions and suggestions to help determine if Retro is right for a business and information regarding annual participation.

Publication F225-018-000
Limited Liability Companies (LLC)

Quick reference card: Reviews the requirements for members or managers of limited liability companies to be exempt from workers' compensation (industrial insurance) coverage. This information is part of the publication, Workers’ Compensation Record Keeping and Report Guides.

Publication F214-021-000
Request for Revision of Standards

Used to request a revision of standards except for committee members.

Form F100-030-000
Request for Survivor Counseling Benefits (English/Spanish)

Used by immediate family members of homicide victims to request mental health counseling.

Form F800-057-909
Retrospective Rating Enrollment Decisions

Fact sheet: Information for employers regarding choices they should make when enrolling in the Retrospective Rating (Retro) program including plan type, single-loss limit and upper and lower loss-ratio limits.

Publication F225-017-000
Vocational Technical Stakeholder Group (VTSG) Application

This form is for recruiting private sector vocational counselors to be on the Vocational Technical Stakeholder Group (VTSG). The form is made available on the department’s vocational website when recruiting for new members to assist the department in addressing vocational issues and formulating policy. Prospective applicants are expected to download, sign, and return the form to PSRS for consideration.

Form F280-049-000
When a Loved One Dies at Work
Also available in: Spanish

Brochure: Provides information to loved ones of workers who died from a job-related injury or illness, including how to apply for survivor benefits. Explains the L&I fatality investigation and how family members can stay informed of the investigation's status.

Publication F417-240-000

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