This form is to request L&I to release public records in the contractors registration section.

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.

Used by the worker to designate a person(s) as an authorized representative for the worker's claim. An authorized representative can access claim information.

Used by the contractor to request L&I to release assignment of account that they used instead of a surety bond.

This form is to request L&I to release archive records in the contractors registration section.

Used by workers, workers' representatives, employers or employers' representatives to request claim information from L&I.