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Title Number / Language
3 Things to Know about L&I's Medical Provider Network  F242-406-999 (Spanish)
A Guide to Workers' Compensation Benefits For Employees of Self-Insured Businesses  F207-085-999 (Spanish)
A Guide to Workplace Safety and Health in Washington State  F416-132-999 (Spanish)
A Safe and Healthy Workplace Begins with You  F417-210-999 (Spanish)
Accountability Agreement  F280-016-999 (Spanish)
Actions at Law for Injury or Death - RCW 51.24  F249-031-999 (Spanish)
Adaptación previa al trabajo solicitudad de ayuda  F245-350-999 (Spanish)
Address Change Request for Injured Workers  F242-388-999 (Spanish)
Address Change Request for Pensioners  F242-107-999 (Spanish)
Affidavit for Time Loss Compensation Benefits  F242-395-999 (Spanish)
Agriculture Safety and Health Pocket Guide  F417-255-999 (Spanish)
Alleged Safety Or Health Hazards (DOSH Complaint Form)  F418-052-999 (Spanish)
Alteration Fire Safety Pre-Inspection Checklist  F622-011-999 (Spanish)
Always Wear Eye Protection  FSP0-941-999 (Spanish)
Application for Benefits - Homicide Claims  F800-120-999 (Spanish)
Application for Benefits - Injury Claims  F800-042-999 (Spanish)
Application for Construction Contractor Registration  F625-001-999 (Spanish)
Application for Loss of Earning Power (LEP) - Compensation Medical  F242-208-999 (Spanish)
Application for Loss of Earning Power (LEP) - Vocational  F242-209-999 (Spanish)
Application for Structured Settlement  F240-002-999 (Spanish)
Application to Reopen Claim Due to Worsening Condition  F242-079-999 (Spanish)
Application to Reopen to Crime Victims Claim Due to Worsening of Condition  F800-031-999 (Spanish)
Applying for Your Washington Business License: A Step-by-Step Guide  F101-079-999 (Spanish)
Assessing Your Ability to Work: Your Rights and Responsibilities  F280-017-999 (Spanish)
Authorization to Release Claim Information  F101-010-999 (Spanish)
Authorization to Release Information  F262-005-999 (Spanish)
Avoid Liability for Your Subcontractor's Unpaid Workers' Comp Premiums  F262-262-999 (Spanish)
Beneficiary Application for Claim Benefits  F242-056-999 (Spanish)
Carrying Out Your Vocational Plan: Your Rights and Responsibilities During Plan Implementation  F280-019-999 (Spanish)
Caution: Hard Hat Area  FSP0-928-999 (Spanish)
Certificate of Coverage - SAMPLE ONLY  F211-141-999 (Spanish)
Chapter 296-131 WAC Agriculture Employment Standard  F700-085-999 (Spanish)
Chapter 51.24 RCW Actions at Law for Injury or Death - Spanish Capítulo 51.24 Acciones Legales por Lesiones o Fallecimiento  F242-138-999 (Spanish)
Chemical Exposure Questionnaire Packet  F242-409-999 (Spanish)
Cholinesterase Blood Testing Choice  F413-064-999 (Spanish)
Cholinesterase Monitoring Health Care Provider Recommendations  F413-070-999 (Spanish)
Civil Rights Complaint Form  F270-001-999 (Spanish)
Claim for Pension By Dependents  F242-062-999 (Spanish)
Claim Suppression Complaint  F262-024-999 (Spanish)
Construction Contractors - Steps for Success  F625-115-999 (Spanish)
Construction Industry Classification Guide  F213-008-999 (Spanish)
Contractor Registration Officers/Members Addendum  F625-109-999 (Spanish)
Dairy Farm Safety: Key Hazards and Solutions  F417-261-999 (Spanish)
Danger  FSP1-030-999 (Spanish)
Danger, Construction Area Authorized Personnel Only  FSP1-013-999 (Spanish)
Danger, Workers Above  FSP1-012-999 (Spanish)
Declaration of Entitlement - Disabled Child or Guardian Benefits  F242-421-999 (Spanish)
Declaration of Entitlement - Surviving Spouse/Registered Domestic Partner  F242-420-999 (Spanish)
Declaration of Entitlement for Dependent of Deceased Worker Benefits Under Industrial Insurance  F242-422-999 (Spanish)
Declaration of Entitlement for Totally Disabled Worker Benefits Under Industrial Insurance  F242-423-999 (Spanish)
Designation of Beneficiary  F240-006-999 (Spanish)
Development of the plan: What are my rights and responsibilities? Vocational Rehabilitation Services  F280-018-999 (Spanish)
Disclosure Statement Farm and Labor Contractor  F700-046-999 (Spanish)
Employee Notice for Use of Paid Sick Leave  F700-192-999 (Spanish)
Employee Notification of Frontloaded Paid Sick Leave  F700-190-999 (Spanish)
Employee Paid Sick Leave Benefits Notification  F700-191-999 (Spanish)
Employee Request to Donate Paid Sick Leave  F700-194-999 (Spanish)
Employee Request to Receive Shared Paid Sick Leave  F700-195-999 (Spanish)
Employee Verification for Authorized Use of Paid Sick Leave for Absences Exceeding 3 Days  F700-193-999 (Spanish)
Employer's Guide to the Hazard Communication Rule  F413-012-999 (Spanish)
Employer's Return-to-Work Guide  F200-003-999 (Spanish)
Employers' Guide to Workers' Compensation Insurance in Washington State  F101-002-999 (Spanish)
Employment History Form  F242-109-999 (Spanish)
Fall Protection Basics for Construction Activities  F414-154-999 (Spanish)
Fall Protection Work Plan  F417-272-999 (Spanish)
Farm Labor Contractor Checklist  F700-112-999 (Spanish)
Farm Labor Contractor Complaint Form  F700-109-999 (Spanish)
Farm Labor Contractor Registration  F700-088-999 (Spanish)
Getting Back to Work: It's Your Job and Your Future  F200-001-999 (Spanish)
Grinding Wheel - Prevent Accidents  FSP1-000-999 (Spanish)
Have you been injured at work?  F242-404-999 (Spanish)
Help for Crime Victims (large poster)  F800-041-999 (Spanish)
Help for Crime Victims (small poster)  F800-104-999 (Spanish)
Help for Injured Workers of Self-Insured Employers  F207-213-999 (Spanish)
Home Modification for Workers with Catastrophic Injuries  F252-060-999 (Spanish)
Home Modification for Workers with Catastrophic Injuries - Questions and Answers for Contractors  F252-061-999 (Spanish)
How Social Security Benefits May Reduce Your Workers' Compensation Payments  F242-427-999 (Spanish)
Independent Contractor Guide: A Step-by-Step Guide to Hiring Independent Contractors in Washington State  F101-063-999 (Spanish)
Independent Contractor or Covered Worker? - Your rights to workers' compensation, minimum wage and overtime  F212-250-999 (Spanish)
Independent Medical Exam Comments  F245-053-999 (Spanish)
Indoor Air Quality Questionnaire  F242-435-999 (Spanish)
Industrial Insurance Discrimination Complaint Form  F262-009-999 (Spanish)
Injured by a third party?  F249-008-999 (Spanish)
Interpreter Services for Injured Workers and Crime Victims  F245-412-999 (Spanish)
Intro to L&I Workshop  F101-101-999 (Spanish)
Job Modification Assistance Application  F245-346-999 (Spanish)
L&I Workers' Compensation: We're Here for You  F242-429-999 (Spanish)
Legal Representation Notification  F242-425-999 (Spanish)
Letter of Intent for School Enrollment  F242-382-999 (Spanish)
Medical care for work-related injuries and illnesses: Questions and answers  F252-124-999 (Spanish)
Minimum Header Structural Requirements for Manufactured Home Alternations  F622-080-999 (Spanish)
Model Disclosure Statement Notice to Customer  F625-030-999 (Spanish)
Occupational Disease Employment History Hearing Loss  F262-013-999 (Spanish)
Occupational Disease Work History  F242-071-999 (Spanish)
Occupational Hearing Loss Questionnaire  F262-016-999 (Spanish)
Occupational Lead Exposure: An Alert for Workers  F310-003-999 (Spanish)
Opioid Treatment Agreement  F252-095-999 (Spanish)
Option 1 Plan Modification Accountability Agreement  F280-056-999 (Spanish)
Option 2 Training Application  F280-024-999 (Spanish)
Option 2: What You Need to Know, Vocational Rehabilitation Services  F280-036-999 (Spanish)
Out of Country Provider Application  F248-361-999 (Spanish)
Overtime Rules Factsheet  F700-205-999 (Spanish)
Paid Sick Leave Law  F700-197-999 (Spanish)
Parent / School Authorization  F700-002-999 (Spanish)
Parent Authorization for Summer Work  F700-168-999 (Spanish)
Payment Method Authorization  F120-211-999 (Spanish)
Pension Benefits Questionnaire  F242-393-999 (Spanish)
Preferred Worker Program  F280-021-999 (Spanish)
Prevailing Wage Complaint and Instructions  F700-146-999 (Spanish)
Protect My Home Hire Smart Worksheet  F625-111-999 (Spanish)
Protected Leave Complaint  F700-144-999 (Spanish)
Put This Guard Back - 5 1/2 x 2 1/8 inches  FSP0-993-991 (Spanish)
Put This Guard Back - 8 1/2 x 3 1/2 inches  FSP0-993-999 (Spanish)
Q&A: Emergency Washing Requirements for Pesticide Handlers  F417-257-999 (Spanish)
Q&A: Workplace Safety Requirements at Dairy Farms  F417-282-999 (Spanish)
Report All Injuries Promptly  FSP1-004-999 (Spanish)
Report of Accident - Injured Worker Instructions  F242-134-999 (Spanish)
Request for Discretionary Over 7/10 Disability Benefits  F242-428-999 (Spanish)
Retaliation Complaint Form (Minimum Wage Act & Paid Sick Leave)  F700-199-999 (Spanish)
Robberies and Abusive Customers: Tips for Preventing Injuries  FSP0-919-999 (Spanish)
Safety and Health Discrimination Complaint  F416-011-999 (Spanish)
Safety and Health Discrimination in the Workplace  F417-244-999 (Spanish)
Safety Committees and Meetings  F417-043-999 (Spanish)
Safety Meeting Notes or Minutes  F417-279-999 (Spanish)
Safety Stand-Down Sticker  FSP1-077-999 (Spanish)
Self-Insurance Accident Report (SIF-2) Instructions for Workers  F207-214-999 (Spanish)
Self-Insured Employers' Medical Only Claim Closure Order and Notice  F207-020-999 (Spanish)
Self-Insured Employers' Permanent Partial Disability Closure Order and Notice - PPD-NTL  F207-164-999 (Spanish)
 F207-165-999 (Spanish)
Self-Insured Employers' Time Loss Claim Closure Order and Notice  F207-070-999 (Spanish)
Settling your L&I claim might be right for you: An option for injured workers 50 or older  F240-003-999 (Spanish)
Smoke Safety Fact Sheet  F101-190-999 (Spanish)
Statement for Miscellaneous Services  F245-072-999 (Spanish)
Statement for Option 2 Training  F245-446-999 (Spanish)
Statement for Pharmacy Services  F245-100-999 (Spanish)
Statement for Retraining and Job Modification Services  F245-030-999 (Spanish)
Statement of Fact  F242-017-999 (Spanish)
Stay at Work Expense Reimbursement Application for Employers Tools, Clothing, Training.  F243-003-999 (Spanish)
Stay at Work Wage Reimbursement Application for Employers  F243-001-999 (Spanish)
Stay at Work: A new program to help employers keep injured workers on the job--pays half the wage plus expenses  F243-006-999 (Spanish)
Stop illegal contracting: See it? Report it.  F625-114-999 (Spanish)
Structured Settlement Income and Expense Worksheet  F240-007-999 (Spanish)
Teens at Work: Facts for Employers, Parents and Teens  F700-022-999 (Spanish)
Tractor Safety: Rollover Protection and Seatbelts  F417-234-999 (Spanish)
Transfer of Attending Provider Form for Self Insured Workers  F207-114-999 (Spanish)
Transfer of Care  F245-037-999 (Spanish)
Travel Reimbursement Request  F245-145-999 (Spanish)
Understanding Your Functional Capacity Evaluation  F245-416-999 (Spanish)
Verification of School Enrollment  F242-055-999 (Spanish)
Victim Verification Form  F800-110-999 (Spanish)
Vocational Dispute Form  F280-066-999 (Spanish)
Vocational Plan On-the-Job Training Agreement  F280-039-999 (Spanish)
Vocational Questionnaire/Work History  F280-038-999 (Spanish)
Vocational Training Plan Ownership Agreement for Tools and Equipment  F245-351-999 (Spanish)
Wage-and-Hour Questions Employers Often Ask  F700-150-999 (Spanish)
Washington State Prevailing Wage Law  F700-032-999 (Spanish)
What to Do if You Want to File Suit Against Your Construction Contractor  F625-088-999 (Spanish)
What You Should Know About Hiring a Contractor, Remodeler, or Handyman  F625-084-999 (Spanish)
What You Should Know: Adding or changing the openings in the exterior or centerline walls of your manufactured or mobile home  F622-096-999 (Spanish)
What You Should Know: Installing sheetrock/drywall on the walls or ceiling of your manufactured or mobile home  F622-099-999 (Spanish)
What You Should Know: Installing solar panels on your manufactured or mobile home  F622-098-999 (Spanish)
What You Should Know: Repairing damaged trusses or rafters on your manufactured or mobile home  F622-094-999 (Spanish)
What You Should Know: Repairing the floors in your manufactured or mobile home  F622-100-999 (Spanish)
What You Should Know: Replacing the roof on your manufactured or mobile home  F622-092-999 (Spanish)
What You Should Know: Replacing the siding on your manufactured or mobile home  F622-093-999 (Spanish)
When a Loved One Dies at Work  F417-240-999 (Spanish)
Wildfire Smoke - What To Do if a Worker Becomes Ill  F101-191-999 (Spanish)
WISHA 10 for Agriculture  F416-147-999 (Spanish)
WISHA 10 for Agriculture Workers - Registration Information  F417-263-999 (Spanish)
WISHA 10 for Agriculture Workers - Training for Trainers (TOT)  F417-265-999 (Spanish)
WISHA 10 for Agriculture Workers Certification Card Replacement Request  F416-149-999 (Spanish)
Work Status Form (formerly Worker Verification Form)  F242-052-999 (Spanish)
Worker Request for Union Dispatch Records  F242-410-999 (Spanish)
Worker Rights Complaint Form  F700-148-999 (Spanish)
Workers' Compensation Benefits: A Guide for Injured Workers  F242-104-999 (Spanish)
Workers' Compensation Filing Information  F207-155-999 (Spanish)
Workers' Compensation Record Keeping and Reporting Guides  F212-222-999 (Spanish)
Workers: Activity coaching can help you get back to doing what you love  F280-061-999 (Spanish)
Your Body, Your Job: Preventing Carpal Tunnel Syndrome and Other Upper Extremity Musculoskeletal Disorders  F413-024-999 (Spanish)
Your Independent Medical Exam  F245-224-999 (Spanish)
Your Independent Medical Exam: For Employees of Self-Insured Businesses  F207-202-999 (Spanish)
Your Lungs, Your Work, Your Life: What You Should Know about Work-related Asthma  F413-060-999 (Spanish)
Your Manufactured/Mobile Home  F622-049-999 (Spanish)

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