Obtenga un formulario o publicación: SHIP

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Apprenticeship Reciprocity Notification


Used to document Apprentices coming from Oregon or Montana as part of the Tri-State reciprocity agreement.

Form F100-527-000

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

Attending Doctor's Handbook


Note: The October 2012 update edition contains limited new information, including a summary of recent workers' compensation reforms. The inside pages remain the same as the 03-2005 edition. This handbook contains useful information to help providers who treat patients in the workers' compensation system. Physicians can obtain 3 hours of CE credit by completing an online self-assessment based on this handbook. L&I and the authors have no financial interest or other relationship with the manufacturer(s) of any commercial product(s) and/or provider of commercial services discussed in this document.

Publication F252-004-000

Medical Examiners' Handbook


Book: A publication for independent medical examiners, attending doctors and consultants, this document contains guidelines, sample reports and billing procedures for preparing and conducting impairment ratings and independent medical exams in Washington's workers' compensation system. Beginning July 1, 2012, free Category I CME credits are available for completing the self-assessment associated with this handbook. Go to www.Imes.Lni.wa.gov and click on Medical Examiners Handbook for information on the exam. L&I and the authors have no financial interest or other relationship with the manufacturer(s) of any commercial product(s) and/or provider of commercial services discussed in this document.

Publication F252-001-000

Registered Apprenticeship in the Construction Industry


Brochure: Designed for construction business employers who are interested in hiring apprentices. Includes answers to common questions, how to hire apprentices, the benefits of apprenticeship, testimonials, and contact information.

Publication F100-533-000
A Parents' Guide to Apprenticeships

Booklet: Designed specifically for parents, this booklet provides an overview of apprenticeship. Topics include the benefits of apprenticeship, career options, requirements, how to apply and contact information.

Publication F100-530-000
Application for Apprenticeship

EXAMPLE ONLY: Example of an application to apply for an apprenticeship. Registered Apprenticeship Programs use their own forms. NOT TO BE USED TO REQUEST PLUMBER or ELECTRICAL TRAINEE CARD.

Form F100-033-000
Application for Farm Internship

Application form: Small farm owners wishing to participate in the pilot small farm internship program must complete this form and submit it to the department. The information requested on the form is required to process an application for approval in order to issue a certificate of participation.

Form F700-158-000
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
Apprentice Work Progress Record

Worksheets used to record the number of hours worked and Related Supplemental Instruction hours during a registered apprenticeship on a monthly basis. If used, a copy is usually given to the program monthly.

Form F100-002-000
Apprenticeship Advantage poster

Poster: Introduces apprenticeship, especially for younger people. Promotes the benefits of apprenticeship and includes contact information to learn more.

Poster F100-526-000
Apprenticeship Agreement

Used by the registered apprenticeship program to setup an agreement with the apprentice.

Form F100-016-000
Apprenticeship Applicant Register

Example: Used for tracking applicants for an apprenticeship program. Registered Apprenticeship Programs use their own forms.

Form F100-045-000
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
Apprenticeship Complaint (Not for Apprenticeship Appeals)

Used to file a complaint on a apprenticeship program, committee, training agent, etc. NOT be used by Apprentices appealing Committee Decisions.

Form F100-505-000
Apprenticeship Related Supplemental Instruction (RSI) Plan Revew Review Criteria

Describes the process for getting approval of new or revised RSI for new apprenticeship programs/standards/occupations.

Form, Publication F100-521-000
Apprenticeship Related Supplemental Instruction (RSI) Plan Review

Used by apprenticeship programs/sponsors as part of the process of getting new programs/standards/occupations approved.

Form F100-520-000
Apprenticeship Related Supplemental Instruction (RSI) Plan Review Glossary of Terms

Glossary of terms used with Apprenticeship Related Supplemental Instruction (RSI) Plan Review form and RSI Plan.

Form, Publication F100-519-000
Apprenticeship Transfer Agreement

Used to allow an apprentice to transfer from a Washington State Registered apprenticeship program to another Washington State Registered program.

Form F100-503-000
Approved Training Agent

Used to allow an employer to train apprentices as part of a Registered Apprenticeship program.

Form F100-508-000
Authorization of Signature

This gives individuals other than the Secretary or Chairman authorization to sign ALL Papers or just Registration Cards. Must be signed by a quorum of the Apprenticeship Committee.

Form F100-500-000
Cancellation of Elective Coverage - Sole Proprietors/Partner, Member of Limited Liability Company (LLC), Member of Limited Liability Partnership (LLP) or For-Profit Corporate Officers

Used by an employer to cancel workers' compensation coverage for Sole Proprietors/Partner, Member of Limited Liability Company (LLC), Member of Limited Liability Partnership (LLP) or For-Profit Corporate Officers.

Form F213-004-000
Comparing Career Pathways

Fact sheet: Assists high school students and their parents by comparing the benefits of registered apprenticeship to a traditional university or college program. Compares wages, costs, and length of study.

Publication F100-531-000
Drywall Contractors

Quick reference guide: Used by drywall contractors to get answers to questions about being a drywall contractor and how it relates to L&I.

Form F214-024-000
Electrical/Telecommunications Contractor Assignment of Savings Account

This is used to assign ownership interest to a savings account that is held by L&I for one year after a contractor's license has expired or after the contractor ceases business in Washington State.

Form F500-020-000
Elevator Information Update

This form is required by L&I before they can process any changes to the ownership, physical or mailing address.

Form F621-050-000
Equal Employment Opportunity (EEO) Resource & Referral Update Form

Used by an organization to get on the Apprenticeship Program equal opportunity resources list or use to update their information on the list.

Form F100-513-000
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
Farm Internship Agreement

Agreement form: Prior to hiring an intern, farms that have received a Farm Intern Program certificate must complete this agreement with the intern and submit it to the department.

Form F700-157-000
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
Instructor's Report of Accident / Incident

This form must be submitted to L&I's Apprenticeship Section by the Instructor at the time of the incident and the appropriate Apprenticeship Program within 5 days of an accident/incident of an apprentice/trainee during Related Supplemental Instruction (RSI).

Form F100-509-000
Journey Level Wage Rate from which apprentices' wages rates are computed.

Used to submit the Journey-level wage rate from which the apprentices' wage rate is computed. Form must be submitteed at least annually or sooner if the rates change.

Form F100-050-000
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
Log of Good Faith Effort Documentation

This is for Registered Apprenticeship Programs to record Good Faith Effort activities in accordance with their Registered Apprenticeship Standards (Equal Employment Opportunity Plan)

Form F100-515-000
Minutes of Apprenticeship Committee Meeting

Example of how the minutes for an Apprenticeship Committee meeting should be recorded. Submit this to L&I Apprenticeship section within 30 days of the meeting.

Form F100-029-000
NOTICE - Your Right to Register Equal Employment Opportunity (EEO) Complaints

This notice is to be posted by Apprenticeship Programs in plain view to inform apprentices or apprenticeship applicants of who to contact in regards to EEO Complaints.

Form F100-517-000
Notice of Contest or Objection to Proposed Standards of Apprenticeship

Used by competitor to contest or object to a proposed standards of apprenticeship, new occupation or revised geographical area. Submit this form at least 20 days prior to a Council meeting.

Form F100-516-000
Notice to Attending Physician of Apprentice / On-the-Job-Training Accident / Incident

A notice to the attending physician that the individual is a Registered Apprentice and to attach this form to the Accident Report of Industry Injury or Occupational Disease (F242-130-000).

Form F100-511-000
Notification to Local Enforcement Agency

L&I sends this form to notify the local agencies when a factory-built structure is being shipped within a county or city limits.

Form F623-013-000
On-the-Job Training Agreement Card

This card is used by an OJT Apprenticeship program ONLY. To receive this form, you must contact the Apprenticeship Section.

Form F100-019-000
On-The-Job Training Work Hours

Used to report the work hours for an on-the-job training employee.

Form F100-229-000
Program Equal Employment Opportunity Activity Documentation

Used to record individual equal employment opportunity activities conducted by Apprenticeship Programs.

Form F100-012-000
Registered Apprenticeship Program Address/Mailing Information Update

Used by the Registered Apprenticeship Program to update their address or mailing information. (Note: This DOES NOT update your program standards information.) You should ensure that your address information in the Standards is correct.

Form F100-512-000
Related Supplemental Instruction / On-the-Job Training Hours

Used to track apprentices/trainees on-the-job training hours.

Form F100-518-000
Related Supplemental Instruction Hours

Used by Apprenticeship programs to submit related instruction hours to L&I Apprenticeship section. It is preferred that programs use the combined RSI/OJT reporting form. RSI Hours must be reported quarterly.

Form F100-228-000
Request for Approval of Proposed Standards

Request for new apprenticeship standards.

Form F100-049-000
Request for Cancellation of New Apprenticeship Committee

To request a cancellation of a new apprenticeship committee which never has a "Request for New Standards" approved by the WSATC

Form F100-510-000
Request for Cancellation of Program

Used for cancelling an apprenticeship program.

Form F100-303-000
Request for Change of Status - Apprenticeship/Training Agreements and Training Agents

Used to request a change of status for apprentices, the training agreements or the training agents. These are normally accompanied by Committee meeting minutes when submitted.

Form F100-021-000
Request for Recognition of Apprenticeship Committee

Used to establish a new apprenticeship committee and list it's employer/employee representatives.

Form F100-504-000
Request for Revision of Committee

Used to request revision of committees to include changing the title of the standards, sub-committees, and training directors/coordinators.

Form F100-031-000
Request for Revision of Standards

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

Form F100-030-000
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
Safety and Health Investment Projects (SHIP) Grant Program

Pamphlet/booklet: Introduces the SHIP Grant Program and application process. Eligible grants will aim to prevent injuries and illnesses, save lives, and educate workers and employers about workplace hazards and safe workplace practices. Proposals submitted by applicants

Publication F417-224-000
Safety Standards for Shipbuilding, Ship Repairing and Shipbreaking Chapter 296-304 WAC

Safety Standards for Shipbuilding, Ship Repairing and Shipbreaking Chapter 296-304 WAC

Manual F414-025-000
Standards of Apprenticeship

Blank form for creating Registered Apprenticeship Standards. This document is used to create Apprenticeship Standards which will go before the Washington State Apprenticeship and Training Council for approval.

Form F100-522-000
Suggested Procedure for Apprenticeship Committee Meetings

Suggestions on how to have successful apprenticeship committee meetings.

Form, Publication F100-024-000
The Apprenticeship Advantage: Earn While You Learn!

Fact sheet: Introduces apprenticeship to younger people. Explains the benefits of apprenticeship, a program of study where apprentices earn wages while learning a skilled profession. Includes contact information for L&I's apprenticeship coordinators around the state.

Publication F100-022-000
Training Agent Agreement and Understanding of Equal Employment Opportunity (EEO) Requirements of the Apprenticeship Committee - Alternate Selection Process

This should be signed by all employers who are Training Agents with Apprenticeship Programs that use an Alternate Selection Process. This also explains their obligations and rights as part of this process.

Form F100-523-000
Using Apprentices on Public Works and Other Projects

Pamphlet: Provides a quick overview of the rules for using apprentices on public works projects, including apprentice utilization. Also describes the benefits of apprenticeship and where to get more information.

Publication F100-529-000
Vocational Training Plan Ownership Agreement for Tools and Equipment

Injured worker agrees to the ownership terms of the tools and/or equipment purchased as part of their training plan by L&I.

Form F245-351-000
Washington State Apprenticeship Programs Catalog

Book: Provides an overview of apprenticeship, explains general requirements, lists the apprenticeship programs in Washington State and, and provides contact information. The version available online may contain more up-to-date information than the June 2012 printed edition.

Publication F100-041-000

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