Locate the tools and resources by clicking the tabs by subject below:

Note the Medical Provider Network Status Report (MPNSR) and Reasonably Convenient Location (RCL) tools are on the last tab.

Benefit Calculations PPD Award Schedules

A permanent partial disability (PPD) is a permanent impairment that results from the workplace injury or occupational disease. When this occurs, a worker may be eligible to receive a PPD benefit.

In order to qualify for a PPD benefit, the impairment must be rated by a qualified doctor.

Reference PPD Down Payment Amounts.

Every year the PPD award schedules are updated. We have included the most recent schedules below to help you calculate the award.

Note: If you need a PPD award schedule from earlier years, email us at SItrainerQuestions@Lni.wa.gov

Forms & Templates

Forms

A complete list of self-insurance forms is on the Forms & Publications page. Many of these forms and templates are available in other frequently used languages.

Self-Insured Employers are required to use specific forms to request the following orders from the department: allowance, closure, denial, interlocutory, or overpayment. Refer to the training matrix for more information on these changes. 

Templates

Self-Insured Employers must use letter templates to communicate key actions to workers during the course of a claim, including: wage calculation, starting, stopping or denying compensation benefits, accepting or denying newly-contended conditions, authorizing or denying treatment, and assessing overpayments or underpayments.

Note: Unless disputed, L&I will no longer issue wage orders, overpayments, or acceptance/denial of newly contended conditions.

Checklists & Coversheets

To make it easier for claim managers to do business with L&I, we have created useful coversheets and checklists.

MPNSR & RCL

Medical Provider Network Status Report (MPNSR)

Self-insured employers can use the network status MPNSR tool or download the Provider Network Status Report (PNSR), a daily file of providers' network status to determine which providers can provide ongoing treatment to injured workers in Washington State.

The network status tool will allow self-insured payers and providers to have access to the same timely accurate information. Additional provider information can be found on the self-insurance providers page.

If you have questions or concerns, please contact our Provider Account Credentialing team at provnet@Lni.wa.gov.

Reasonably Convenient Location (RCL) Tool

L&I developed the Reasonably Convenient Location tool to help self-insured employers identify where residents in the worker’s community likely travel for care to various medical specialties (RCW 51.36.070). These locations are determined by:

  • The number of providers in each county participating in the Medical Provider Network (MPN).
  • The closest driving distance between the starting location and each county seat.

Additional Resources:
The RCL tool does not list or display where individual medical providers are available. If you wish to find where an IME might be scheduled, access the Find a Medical Examiner (FAME) search engine. To find individual locations of medical providers, use the Find a Doctor search engine.

How to use the search feature on the Reasonably Convenient Location tool:

  • Open the RCL Location Tool (Excel)
  • Start with the cursor in the city field next to “Enter Worker’s Location”
  • Type in the workers starting city or select the city from the drop down options
  • Review the list of specialties to find the location where worker will likely travel

Example:

RCL

If you need to determine what county an IME location is in, please use this list:
https://www.courts.wa.gov/court_dir/?fa=court_dir.countycityref

For more information on compliance, please see the penalty table