Used in requesting a plan approval for Conversion Vendor or Medical Unit factory-assembled structures.

Manufacturer uses this form to apply for an official insignia for commercial coaches that have a plan approval number.

Manufacturers uses this form to apply for an official insignia for a factory-built structure that has a plan approval number.

Used by the manufacturer to request approval from L&I on an eletrical plan to build factory-built structures or commercial coaches.

A manufacturer of factory-built structures and/or commercial coaches uses this form to submit plans to L&I for review.

Plans to build recreational vehicles or park trailers need approval from L&I. This form is used as part of the approval process.

For use internally by L&I Vocational Service Specialists (VSSs) to determine if all required components are included in the submitted plan. Can be used by VRCs as a tool. DO NOT SUBMIT TO L&I.

Routing slip that accompanies the Vocational Services Closing Cover Sheet (F252-028-000) which is used to close vocational services to an injured worker only if you are recommending Plan Approval. For all other closing reports, use Vocational Closing Report Routing Sheet (F252-027-000).