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Instructor's Report of Accident / Incident


Formulario
F100-509-000
 
2006 Annual Report - Department of Labor & Industries


Publicación
F101-078-000
 
Self-Insurer Accident Report (SIF-2)


Formulario
F207-002-000
 
Self-Insurance Report of Occupational Injury or Disease (SIF-5)


Formulario
F207-005-000
 
Quarterly Report for Self-Insured Business


Formulario
F207-006-000
 
Provider's Initial Report (PIR)


Formulario
F207-028-000
 
Self-Insurance Vocational Reporting Form


Formulario
F207-190-000
 
Self Insurance Continuing Education Report of Course Completion


Formulario
F207-191-000
 
Self-Insurance Electronic Data Reporting System (SIEDRS) Enrollment Form


Formulario
F207-193-000
 
Self-Insurance Electronic Data Reporting System (SIEDRS): Enrollment Package 2.0


Publicación
F207-194-000
 
SIEDRS (Self-Insurance Electronic Data Reporting System) Data Change Request


Formulario
F207-197-000
 
Drywall Industry - Owner/Sub-Contractor Report


Formulario
F212-050-000
 
Supplemental Quarterly Report for the Drywall Industry


Formulario
F212-051-000
 
Workers' Compensation Employer's Quarterly Report


Formulario
F212-055-000
 
Workers' Compensation Record Keeping and Reporting Guides


Publicación
F212-222-000
 
Mechanized Logging Supplemental Quarterly Report


Formulario
F212-223-000
 
Quarterly Reporting for Drywall


Formulario
F212-224-000

Otro(s) idioma(s):
Español
 
Reporte trimestral para la industria de tabla de yeso


Formulario
F212-224-999

Otro(s) idioma(s):
Inglés
 
Washington Workers Insured Out-of-State: Employer's Supplemental Quarterly Report for Workers' Compensation


Formulario
F212-233-000
 
Application for out of State Supplemental Reporting


Formulario
F212-234-000
 
Instructions for completing the Workers' Compensation Employer's Quarterly Report


Formulario
F212-239-000
 
QuickFile: Workers' Compensation Quarterly Report Filing Made Easy!


Publicación
F212-244-000
 
Monthly Supplemental Report for Manual Logging


Formulario
F212-246-000
 
Contract: Report By Landowner - Forest, Range & Timber Industry


Formulario
F213-010-000
 
Contract: Report By Contractor - Forest, Range & Timber Industry


Formulario
F213-011-000
 
Reforestation Contract Supplemental Report - Forest, Range and Timber Industry


Formulario
F213-013-000
 
Report of Accident (ROA) Workplace Injury, Accident or Occupational Disease


Formulario
F242-130-000

Otro(s) idioma(s):
Español
 
Report of Accident - Injured Worker Instructions - Spanish


Formulario
F242-134-999
 
Physical Therapy / Occupational Therapy Progress Report to Claim Managers


Formulario
F245-059-000
 
Payroll Service Provider - Quarterly Reporting Bulk Filing Enrollment Form


Formulario
F248-343-000
 
Sample Format for Vocational Testing Report


Formulario
F252-051-000
 
Stop Work Payroll Report


Formulario
F262-043-000
 
Recordkeeping and Reporting - WAC 296-27


Manual
F414-037-000
 
Supervisor's Report of an Accident


Formulario
F417-048-000
 
Investigation Report


Formulario
F500-076-000
 
Non-Compliance Report - Boiler & Pressure Vessel Inspection


Formulario
F620-012-000
 
Shop and Field Inspection Report


Formulario
F620-027-000
 
Incident Report Boiler or Pressure Vessel


Formulario
F620-044-000
 
Construction Elevator Installation Application and Inspection Data Report


Formulario
F621-001-000
 
Elevator Five-Year Safety Test Report


Formulario
F621-051-000
 
Manufactured Home Installer's Monthly Certification Tag Report


Formulario
F622-078-000
 
Stop illegal contracting: See it? Report it.


Publicación
F625-114-000

Otro(s) idioma(s):
Español
 
Crime Victims Compensation Program Treatment Report: Form IV


Formulario
F800-083-000
 
Crime Victims Compensation Program Treatment Report: Form V


Formulario
F800-084-000
 
Crime Victims Compensation Program Termination Report: Form VI


Formulario
F800-085-000
 
Crime Victim Compensation Program Sexual Assault Exam Report


Formulario
F800-098-000
 
CVCP Opioid Progress Report Chronic, Non-Cancer Pain and Treatment Agreement.


Formulario
F800-116-000
 
Crime Victims Compensation Physical Abuse/Neglect Exam Report


Formulario
F800-121-000
 
Report All Injuries Promptly


Cartel
FSP1-004-000

Otro(s) idioma(s):
Español
 
Report All Injuries Promptly / Reporte todas las lesiones inmediatamente (English / español)


Cartel
FSP1-004-999

Otro(s) idioma(s):
Inglés
 
Related Supplemental Instruction Hours


Formulario
F100-228-000
 
On-The-Job Training Work Hours


Formulario
F100-229-000
 
Notice to Attending Physician of Apprentice / On-the-Job-Training Accident / Incident


Formulario
F100-511-000
 
Quarterly Statement of Supplemental Benefits Paid for Self-Insured Employers


Formulario
F207-011-000
 
Employers' Guide to Self-Insurance in Washington State


Publicación
F207-079-000
 
SIF-5A Cover Sheet: Wage Calculations


Formulario
F207-156-000
 
Self-Insurance Vocational Services Closing Cover Sheet


Formulario
F207-171-000
 
Reforestation Industry Continuation Sheet (Over $10,000)


Formulario
F213-015-000
 
Corporate Officers


Publicación
F214-010-000
 
Record Keeping


Publicación
F214-011-000
 
Independent Contractors


Publicación
F214-012-000
 
Excluded and Exempt Employments


Publicación
F214-013-000
 
Computing Worker Hours


Publicación
F214-014-000
 
Standard Exception Classification


Publicación
F214-016-000
 
Audit Reference Card


Publicación
F214-020-000
 
Limited Liability Companies (LLC)


Publicación
F214-021-000
 
Formulario de historial de empleo


Formulario
F242-109-999

Otro(s) idioma(s):
Inglés
 
Notice of Occupational Disease or Infection


Formulario
F242-243-000
 
FileFast postcard handout for workers


Publicación
F242-398-000
 
FileFast poster for workers


Cartel
F242-399-000
 
Workers' Compensation Requirements for the Marijuana Industry


Publicación
F242-415-000
 
Performance Based Physical Capacities Evaluation


Formulario
F245-023-000
 
Provider's Request for Adjustment


Formulario
F245-183-000
 
Medical Examiners' Handbook


Publicación
F252-001-000
 
Occupational Disease Employment History Hearing Loss


Formulario
F262-013-000

Otro(s) idioma(s):
Español
 
Safety and Health Discrimination Complaint


Formulario
F416-011-000

Otro(s) idioma(s):
Español
 
Queja de discriminación de la División de Seguridad y Salud Ocupacional


Formulario
F416-011-999

Otro(s) idioma(s):
Inglés
 
Safety and Health Discrimination in the Workplace / Discriminación de seguridad y salud en el lugar de trabajo (English/español)


Cartel
F417-188-909
 
Workplace Safety and Health Pocket Guide


Publicación
F417-241-000
 
Safety and Health Discrimination in the Workplace


Publicación
F417-244-000

Otro(s) idioma(s):
Español
 
Discriminación de seguridad y salud en el lugar de trabajo


Publicación
F417-244-999

Otro(s) idioma(s):
Inglés
 
Logger Safety Initiative Jobsite Notification


Formulario
F417-249-000
 
Alleged Safety Or Health Hazards (DOSH Complaint Form)


Formulario
F418-052-000

Otro(s) idioma(s):
Español
 
Presuntos riesgos de Salud y Seguridad (Formulario de queja de la División de Seguridad y Salud Ocupacional)


Formulario
F418-052-999

Otro(s) idioma(s):
Inglés
 
Construction Contractor's Application for Workers' Compensation Account with No Workers or Hours


Formulario
F625-077-000
 
Detenga la contratación ilegal. Si ve una situación de esta índole, denúnciela.


Publicación
F625-114-999

Otro(s) idioma(s):
Inglés
 
Affidavit of Experience - Plumbers


Formulario
F627-004-000
 
Crime Victims Provider's Request for Adjustment


Formulario
F800-064-000
 
Employers' Guide to Workers' Compensation Insurance in Washington State


Publicación
F101-002-000

Otro(s) idioma(s):
Español
 
Annual Supplemental Surety Information


Formulario
F207-125-000
 
Tractor Safety: Rollover Protection and Seatbelts


Publicación
F417-234-000

Otro(s) idioma(s):
Español
 
Seguridad con los tractores: protección contra vuelcos y los cinturones de seguridad


Publicación
F417-234-999

Otro(s) idioma(s):
Inglés
 
Cancellation of Elective Coverage - Sole Proprietors/Partner, Member of Limited Liability Company (LLC), Member of Limited Liability Partnership (LLP) or For-Profit Corporate Officers


Formulario
F213-004-000
 
Cancellation of Elective Coverage for Excluded Employments


Formulario
F213-005-000
 





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