Obtenga un formulario o publicación: previous

Su búsqueda de "previous" consiguió 8 resultados.

Título Tipo Número
Workers Compensation Benefits: A Guide for Injured Workers
Also available in: Spanish

Pamphlet/booklet: Explains a worker's rights and responsibilities under industrial insurance law. Describes benefits and how to file a claim. Note: Previously titled, Workers' Guide to Industrial Insurance Benefits.

Publication F242-104-000

A Guide to Workplace Safety and Health in Washington State-Spanish (Una Guía de Seguridad y Salud del Lugar de Trabajo en el Estado de Washington)


Also available in: English

Pamphlet/booklet: Provides an overview of the Washington Industrial Safety and Health Act (WISHA), worker and employer rights and responsibilities, enforcement of WISHA rules, and consultation and education services L&I provides. Previously titled A Guide to WISHA

Publication F416-132-999

A Guide to Workplace Safety and Health in Washington State


Also available in: Spanish

Pamphlet/booklet: Provides an overview of the Washington Industrial Safety and Health Act (WISHA), worker and employer rights and responsibilities, enforcement of WISHA rules, and consultation and education services L&I provides. Previously titled A Guide to WISHA

Publication F416-132-000

Employment History Form


Also available in: Spanish

Used to provide your employment history for the past three years, including self-employment and volunteer work.

Please start with your most recent job and work backwards. Please list any gaps or interruptions in your work history.  If you were unemployed at any time, please explain why.  Did you apply for (or receive) unemployment benefits during the time period? If yes, what dates did you receive unemployment benefits?  Did you seek employment during the time period?  If no, why didn’t you seek employment?

Form F242-109-000

Workers' Compensation Benefits: A Guide for Injured Workers - Spanish (Beneficios de Compensación para los Trabajadores: Una guía para los Trabajadores Lesionados)


Also available in: English

Pamphlet/booklet: Explains a worker's rights and responsibilities under industrial insurance law. Describes benefits and how to file a claim. Note: Previously titled Una gua de los trabajadores para beneficios del seguro industrial.

Publication F242-104-999
Cancellation of Elective Coverage for Excluded Employments

Used by employers to get the categories of employment that are not considered mandatory to have workers' compensation. If they had elected to have coverage this form is used to cancel previously elected coverage of workers' compensation.

Form F213-005-000
Homeowners Manufactured / Mobile Home Variance Request

This variance request applies only to the installations performed by a previous owner and does not apply to any home during the warranty period.

Form F622-054-000
L&I Toolkit for Providers and Billing

CD: Includes informational materials for new providers. Also contains the rules and policies for reimbursing medical services and lists maximum fees. This CD was previously titled Medical Aid Rules and Fee Schedules. To access the fee schedules, see the "Fee Schedules" Web page listed on the full description page for this publication.

CD F245-094-034

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