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Title Type Number
A Guide to Hiring Independent Contractors in Washington State
Available in: Spanish

Pamphlet/booklet: Designed to help employers determine if their workers are employees or independents under Washington's workers' compensation, workplace safety, wage and hour and unemployment tax laws. Includes a short "test" and helpful references.

Publication F101-063-000
Account Deposit for Contractor's or Miscellaneous Account Holder's

Used to deposit money into your L&I account (Electrical).

Form F500-080-000
Affidavit of Wages Paid - Public Works Contract - SAMPLE ONLY

Sample copy with instructions: Used by a contractor, company or agency to show the wages paid to employees. This needs to be filed at the completion of a public works job/project. This PDF file will not print. Copies are available in the warehouse, 25 per pad.

Form F700-007-000
Affidavit of Wages Paid Addendum B List of Next Tier Subcontractors - Public Works Contract

Copies of the 05-2008 version will be available in the warehouse later in July.

Form F700-143-000
Affidavit to Release Public Records

This form is to request L&I to release public records in the contractors registration section.

Form F625-066-000
Agreement - Farm Labor Contractors and Workers
Available in: Spanish

Employment wages and conditions agreement with Farm Labor Contractors and Workers

Form F700-046-000
Agreement - Farm Labor Contractors and Workers - Spanish - Acuerdo Entre Contratistas Agrícolas Y Trabajadores
Available in: English

Employment wages and conditions agreement with Farm Labor Contractors and Workers

Form F700-046-999
Agricultural Employer Worksheet

Used by agricultural employers to assist them in determining if they are following the state Agricultural Employment Standards and the Minimum Wage Act for their employees.

Form F700-125-000
Agricultural Employment Standards - Chapter 296-131 WAC Spanish ESTÁNDARES DE TRABAJO AGRÍCOLA
Available in: English

Agricultural Employment Standards - Chapter 296-131 WAC Spanish ESTÁNDARES DE TRABAJO AGRÍCOLA

Manual F700-085-999
Alteration Polybutylene Re-Pipe Pre-Inspection Checklist

This checklist is used by the contractor when altering a polybutylene re-pipe. Be sure you can answer YES to all questions before calling L&I for an inspection.

Form F622-053-000
Alteration Re-Roofing for Low Slope Roofing

Checklist used by the contractor when altering a low slope roof.

Form F622-039-000
Application for Asbestos Contractor Certification

Contractors use this form to apply to be a certified asbestos contractor in Washington state.

Form F413-007-000
Application for Contractor Registration

This is the form you would complete to register as a general contractor or specialty contractor. This is not in the warehouse. Please print off of the internet.

Form F625-001-000
Application for Electrical Contractors License

Application used to get an electrical contractors license

Form F500-018-000
Application for Farm Labor Contractor License

Used to apply or renew a license.

Form F700-014-000
Application for Licensure as an Elevator Mechanic

This is an application for certification as an Elevator Mechanic and is NOT a license to perform work. A contractor's license is still required by L&I.

Form F621-067-000
Application for Pump Installer Combination General Contractor Registration and Electrical Contractor License

Used for creating combination electrical and plumbing contractors license

Form F500-104-000
Application for Telecommunications Contractor's License

Application used to get an telecommunications contractors license.

Form F503-008-000
APPLICATION TO ACCESS L& I’S ELECTRONIC PERMIT & INSPECTION SYSTEM (EPIS) FROM SECUREACCESS WASHINGTON AND UTILIZE CONTRACTOR DEPOSIT ACCOUNT VIA THE INTERNET

Form F621-094-000
Application to Access L&I's Electrical Permit and Inspection System (EPIS) from SecureAccess Washington and Utilize Contractor Deposit Account via the Internet

To establish a contractor deposit account by an electrical contactor or registered construction contractors who are legally required to purchase electrical work permits from L&I.

Form F500-055-000
Application to Establish an Account and Access to L&I's Electrical Permit & Inspection System (EPIS) with L&I's Miscellaneous Accounts

To request access to L&I's EPIS - Miscellaneous Accounts

Form F500-054-000
Application to Establish an Factory Assembled Structure Deposit Account with the Dept. of Labor and Industries

Use to establish a factory assembled structure (FAS) deposit account. FAS deposit accounts are for businesses or other entities that are not currently licensed or registered with L&I as electrical or construction contractors but are legally required to purchase work permits from L&I. (3 pgs)

Form F120-116-000
Applying for Your Washington Business License: A Step-by-Step Guide
Available in: Spanish

Pamphlet: Concise, easy-to-read pamphlet that explains the steps to apply for a business license and what to do if you plan to employ workers. Includes how to apply to be a registered construction contractor.

Publication F101-079-000
Applying for Your Washington Business License: A Step-by-Step Guide-Spanish (Aplicando para su Licencia de Negocio en Washington: Una guía detallada
Available in: English

Pamphlet: Concise, easy-to-read pamphlet that explains the steps to apply for a business license and what to do if you plan to employ workers. Includes how to apply to be a registered construction contractor.

Publication F101-079-999
Assignment of Account - WA State Banks Only

Contractors may use this form to request an Assignment of Account in lieu of a surety bond. The amount of the surety bond would need to be placed into an account at a WA State Bank.

Form F625-008-000
Assignment of Account or Time Deposit for Insurance - Bodily Injury - WA State Banks Only

Contractors may use this form to request an Assignment of Account in lieu of an insurance policy for bodily injury. The amount of the insurance policy would need to be placed into an account at a WA State Bank.

Form F625-082-000
Assignment of Account or Time Deposit for Insurance - Property Damage - WA State Banks Only

Contractors may use this form to request an Assignment of Account in lieu of an insurance policy for property damage. The amount of the insurance policy would need to be placed into an account at a WA State Bank.

Form F625-083-000
Avoid Liability for Your Subcontractor's Unpaid Workers' Comp Premiums -Spanish (Las primas de compensación para trabajadores no pagadas por su subcontratista podrían ser su responsabilidad)
Available in: English

Fact sheet: Tells construction contactors how to protect themselves from liability for their subcontractor's unpaid workers' compensation premiums.

Publication F262-262-999
Avoid Liability for Your Subcontractor's Unpaid Workers' Comp Premiums
Available in: Spanish

Fact sheet: Tells construction contractors how to protect themselves from liability for their subcontractor's unpaid workers' compensation premiums.

Publication F262-262-000
Before Electrical Sign Work Begins: What Electrical Sign Contractors and Electricians Should Know

Fact Sheet: Explains work that is allowed and not allowed under (04) Sign Scope of Work and what electrical sign contractors and electricians should know before doing sign work. Also covers electrical Class B labels and electrical permits, inspections and fees.

Publication F500-111-000
Boiler / Pressure Vessel Installation or Reinstallation Permit

Click on the link at the top of the form to get instructions. This form is filled out by the installer, contractor and/or owner who wants to install or reinstall a boiler. 1 permit per object. E-mailed forms are preferred method of submission. To use this form, left click on the link and select SAVE TARGET AS and save to your desktop. Open in WORD, complete form, select PRINT, SEND TO, MAIL DOCUMENT AS ATTACHMENT to email form to Boilers.

Form F620-032-000
Certified Project Payroll

There are instructions in one PDF file, and a blank form that may be printed in the other PDF. The word document is saved in Microsoft 2003 format and is a fillable word form.

Form F700-065-000
Chapter 296-131 WAC Agriculture Employment Standard
Available in: Spanish

Publication F700-085-000
Class B Labels: What You Should Know

Fact Sheet: Explains Class B label electrical work, scope and limitations, and provides general instructions for using Class B labels.

Publication F500-112-000
Construction Contractor's Application for Worker's Compensation Account with No Worker Hours

Used by employers with no employees or worker hours to report but need an open account for contract bidding process.

Form F625-077-000
Construction Contractors: Get the Facts, Get Registered
Available in: Spanish

Pamphlet/booklet: Explains the steps to register as a construction contractor in Washington State.

Publication F625-040-000
Construction Contractors: Get the Facts, Get Registered - Spanish (Contratistas de Construcción: Obtenga los datos, regístrese)
Available in: English

Pamphlet/booklet: Explains the steps to register as a construction contractor in Washington State.

Publication F625-040-999
Construction Lien Notice

This form is to be used by suppliers to notify homeowners that they have the ability to file a construction lien against their property if payment is not received.

Form F625-054-000
Continuous Contractor's Surety Bond

This form is used for the surety bond for construction contractors.

Form F625-003-000
Contract: Report By Contractor - Forest, Range & Timber Industry

This report by the contractor needs to be completed and sent before any contractural agreement with a forest, range and/or timber industry landowner can start any work covered by this agreement.

Form F213-011-000
Contract: Report By Landowner - Forest, Range & Timber Industry

The landowner needs to complete and submit this form before any contractural agreement with a forest, range and/or timber industry contractor can start any work that is covered by this agreement.

Form F213-010-000
Contracted Farm Workers Rights (English/Spanish)

Covers workers rights when working for a farm labor contractor.

Publication F700-067-909
Contractor Complaint Form

Used by a home owner to file a complaint against a contractor.

Form F625-033-000
Contractor Electrical Work Permit Application

This application is used to apply for a valid electrical permit from L&I. 4 pages.

Form F500-093-000
Contractor Financial Information

Used by the contractor to request L&I to release assignment of account that they used instead of a surety bond.

Form F625-061-000
Contractor Registration Request for Duplicate License or Address Change

Contractor Registration Request for Duplicate License or Address Change

Form F625-108-000
Contractor Regsitration Officers/members Addendum

Contractor Regsitration Officers/members Addendum

Form F625-109-000
Contractors: What if You Get a Notice of Infraction?

Pamphlet/booklet: Tells contractors what their options are and what to do if they get a Notice of Infraction (a non-criminal violation).

Publication F625-097-000
Copper Tubing Gas Line Pre-Inspection Checklist

This checklist is used by the contractor when installing gas lines with copper tubing. Be sure you can answer YES to all questions before calling L&I for an inspection.

Form F622-046-000
Danger! Minimum Clearance for Counter Balance - Construction

Sticker: 30 inches long.

Publication FSP0-974-000
Department of Employment Security Tax Compliance Certification

Form to gain Department of Employment Security Tax Compliance Certification for registered Farm Labor Contractors.

Form F700-099-000
Department of Labor and Industries Home Modification Acknowledgement of Responsibilities

Used by both workers and bidding contractors to read, sign and submit to L&I to verify that they have read, understand and accept their respective responsibilities in the home modification process.

Form F247-003-000
Department of Revenue Tax Compliance Certification

Form to gain Department of Revenue Tax Compliance Certification for registered Farm Labor Contractors.

Form F700-100-000
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
Drywall Industry - Owner/Sub-Contractor Report

Used by drywall companies to file their quarterly report. Must accompany the Supplemental Quarterly Report for the Drywall Industry (F212-051-000).

Form F212-050-000
Electrical / Telecommunication Contractor's License Renewal Notice

This form is used to notify you that your license will expire and for you to use to renew your license.

Form F500-077-000
Electrical Work Permit Refund Request

To apply for an electrical work permit refund. Online only.

Form F500-074-000
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
Electrical/Telecommunications Contractor's Bond to the State of WA

Used to show proof of a bond in the State of Washington.

Form F500-019-000
ELEVATOR ACCOUNT DEPOSIT FOR CONTRACTOR’S OR MISCELLANEOUS ACCOUNT HOLDER’S

ELEVATOR ACCOUNT DEPOSIT FOR CONTRACTOR’S OR MISCELLANEOUS ACCOUNT HOLDER’S

Form F621-098-000
Elevator Continuing Education Course Application

This is used to apply for approval of elevator related continuing education courses.

Form F621-077-000
Elevator/General/Specialty Contractor Responsibility on New Installations

Checklist for the elevator company/contractor to complete before the call L&I for an elevator inspection.

Form F621-057-000
Facts About Construction Liens

Fact sheet: Explains the basics of the construction lien law to help consumers protect themselves.

Publication F625-017-000
Farm Labor Contractor Assignment of Account or Time Deposit

Farm Labor Contractor assignment of account or tme deposit for employee

Form F700-060-000
Farm Labor Contractor Certified Payroll

Farm Labor Contractor Certified Payroll

Form F700-147-000
Farm Labor Contractor Checklist
Available in: Spanish

Farm Labor Contractor's Checklist to ensure compliance.

Form F700-112-000
Farm Labor Contractor Complaint Form
Available in: Spanish

Used to file a complaint against a Farm Labor Contractor, landowner, employer, or other where a possible infraction is concerned.

Form F700-109-000
Farm Labor Contractor Registration Fact Sheet

What Farm Labor Contractors need to know to Register for a License.

Publication F700-088-000
Farm Labor Contractors Bond

Notarized farm labor contractors bond coverage.

Form F700-066-000
Farm Labor Employer Packet

Packet of information for Farm Labor Employers. Packet has updated F700-124-000 form dated 6-2007. Packet includes other forms and RCW and WAC references.

Publication F700-127-000
Filing Suit Against an Electrical Contractor

Instructions for filing suit against an electrical contractor

Form F625-053-000
Flood Damaged Manufactured Home Checklist

Checklist on how to repair a flood damaged manufactured home. After the contractor has done all that is required by the checklist they call L&I for an inspection.

Form F622-040-000
Formulario De Queja En Contra De Un Contratista De Trabajores Agricolas (Farm Labor Contractor Complaint)
Available in: English

Used to file a complaint against a Farm Labor Contractor, landowner, employer, or other where a possible infraction is concerned.

Form F700-109-999
Gas Room Heaters Pre-Inspection Checklist

This checklist is used by the contractor when installing gas room heaters. Be sure you can answer YES to all questions before calling L&I for an inspection.

Form F622-045-000
Guía para contratar Contratistas Independientes en el Estado de Washington
Available in: English

Pamphlet/booklet: Designed to help employers determine if their workers are employees or independents under Washington's workers' compensation, workplace safety, wage and hour and unemployment tax laws. Includes a short "test" and helpful references.

Publication F101-063-999
Hiring a Contractor or Remodeler? What You Should Know
Available in: Spanish

Pamphlet/booklet: Provides a checklist for consumers considering hiring a general or specialty construction contractor, reviews the permitting process, and suggests ways to avoid lien problems. Washington State law requires contractors to register with L&I.

Publication F625-084-000
Hiring a Contractor or Remodeler? What You Should Know-Spanish (¿Piensa contratar a un contratista de construcción o remodelador?)
Available in: English

Fact sheet: Provides a checklist for consumers considering hiring a general or specialty construction contractor, reviews the permitting process, and suggests ways to avoid lien problems. Washington State law requires construction contractors to register with L&I.

Publication F625-084-999
Home Modification for Workers with Catastrophic Injuries

Fact sheet: Answers questions about the home modification benefit in Washington State's workers' compensation program, who qualifies, what L&I can pay, and where to get more information.

Publication F252-060-000
Home Modification for Workers with Catastrophic Injuries - Questions and Answers for Contractors

Fact sheet: Answers questions about the home modification benefit in Washington State's workers' compensation program and the bid process for contractors interested in this work.

Publication F252-061-000
Independent Contractors

Quick reference card: Provides information to help determine whether a "subcontractor" working for you meets the legal requirements to be an independent contractor, or whether he/she is actually a covered worker for workers' compensation (industrial insurance) purposes.

Publication F214-012-000
Internal Revenue Service Tax Compliance Certification

Form to gain Internal Revenue Service Tax Compliance Certification for registered Farm Labor Contractors. Now includes IRS form 8821 Tax Information Authorization.

Form F700-098-000
License Requirements for Elevator Mechanics and Contractors

Fact sheet: Explains licensing and testing requirements for mechanics who work on elevators and for contractors who install, repair or maintain elevators.

Publication F621-070-000
Licensed Elevator Contractor (LC) Operation

Contractors who install, construct, repair, alter or maintain elevators need to be licensed by the Elevator Program through L&I and with L&I's contractor registration program.

Form F621-069-000
Lista De Comprobacion Para Un Contratista De Trabajores Agricolas (Farm Labor Contactor Checklist)
Available in: English

Farm Labor Contractor's Checklist to ensure compliance.

Form F700-112-999
Model Disclosure Statement Notice to Customer

This disclosure statement is given to the consumer (customer) from the contractor showing they are registered in the state of Washington. The consumer (customer) signs this form as acknowledgement of receipt.

Form F625-030-000
Online Electrical Services: Tools for Property Owners, Contractors and Electricians

Fact Sheet: Describes the online services available from L&I's Electrical Program, including URLs for different topics covered on the Web, how to sign up for the Electrical listserv (to receive updates by e-mail), and how to sign up for the monthly e-newsletter, also provided by e-mail.

Publication F500-113-000
Parent / School Authorization for Employment of a Minor and Special Variance

For legal guardians and school officials to approve a minor employee to work according to terms listed by the employer. This is NOT a work permit. Employers must obtain a minor work permit endorsement on their Master Business License where they employ workers under 18. The Special Variance for 16- and 17-year-olds to work up to 28 hours during the school weeks, is on page two of Parent/School Authorization form.

Form F700-002-000
Plain Talk Summary of Prevailing Wage Laws: Understand Your Responsibilities and Rights When Performing Public Work (Resumen de las leyes de salario prevaleciente en lenguaje sencillo Entienda sus responsabilidades y derechos al hacer trabajos públicos)

8.5" X 11" sheets: Provides a summary of prevailing wage laws and rules in Spanish. This publication is only available in Spanish. For similar information in English, read Washington State Prevailing Wage Law (F700-032-000).

Publication F700-152-999
Quarterly Reporting for Drywall
Available in: Spanish

Used by drywall employers as a guide to completing quarterly and supplemental reports. This includes filled out samples of F212-050-000 and F212-051-000.

Form F212-224-000
Reassignment of Savings Account or Time Deposit - Construction Contractors

Contractors may use this form to request changes to a Assignment of Savings that was filed in lieu of a surety bond or insurance policy.

Form F625-011-000
Reassignment of Savings Account or Time Deposit - Electrical Contractor

A reassignment is permitted only when (1) the Electrical Contractor (assignor) changes the name of the business; (2) the Electrical Contractor transfers the funds to a new account; or (3) the financial institution changes the account number.

Form F500-072-000
Record Keeping

Quick reference card: Identifies the type of records employers, including construction contractors, need to keep to allow L&I to compute premiums.

Publication F214-011-000
Reforestation Contract Supplemental Report - Forest, Range and Timber Industry

Used by an employer to report worker hours for each individual contract with a timber landowner. This is a supplemental document to the Contract: Report by Contractor - Forest, Range & Timber Industry (F213-011-000).

Form F213-013-000
Reforestation Industry Continuation Sheet (Over $10,000)

Used by contractors to report contracts over $10,000. Reforestation industry contractors must report worker hours for each individual contract with a timber landowner. This form should accompany the quarterly report.

Form F213-015-000
Registered Contractor Card

This is a fillable version of the Registered Contractot Card

Form F625-069-000
Release of Lien by Contractor and Subcontractor(s) - Sample only

This is a sample of a release of lien by a contractor or a subcontractor.

Form F625-029-000
Renewal Application for Contractor Registration

Renewal Application for Contractor Registration

Form F625-107-000
Renewal of Contractor Elevator License

Used by Elevator Companies to renew their Contractor License.

Form F621-082-000
Renewal of Elevator Mechanic License

Used by elevator mechanics to renew their license if they do not want to use the on-line "Get or Renew a License".

Form F621-080-000
Reporte Trimestral Para La Industria De Tabla De Yeso
Available in: English

Used by drywall employers as a guide to completing quarterly and supplemental reports. This includes filled out samples of F212-050-000 and F212-051-000.

Form F212-224-999
Request for Duplicate Elevator Certificate

Used to request a duplicate elevator license or a duplicate operating permit for a conveyance.

Form F621-065-000
Request for Archive Records - Contractor Registration

This form is to request L&I to release archive records in the contractors registration section.

Form F625-094-000
Request for Contract Release

This is the form used by public agencies to request L&I’s approval to release retainage. All known contractors are to be listed on the request form. This form is used for L&I purposes only. Public agencies submit a different form to DOR to obtain approval from DOR and ESD. There are two files - am image only Adobe file and a fillable word document.

Form F215-038-000
Statement of Intent to Pay Prevailing Wages Public Works Contract SAMPLE ONLY

Sample copy of the form that Contractors and Sub-contractors file a Statement of Intent to Pay Prevailing Wages public works contract upon accepting work on a public works project. This PDF file will not print. Copies are in the warehouse, order by the pad (25 a pad).

Form F700-029-000
Steel or Wrought-Iron Gas Line Pre-Inspection Checklist

This checklist is used by the contractor when installing steel or wrought-iron gas line. Be sure you can answer YES to all questions before calling L&I for an inspection.

Form F622-044-000
Subscription Request for Construction Contractor and Electrical Basic - CD

This form is to be used to purchase the CD ROM of registered construction contractors, registered electrical contractors, plumbers and electricians.

Form F625-051-000
Summary of Agricultural Employment Regulations and Farm Contractor Requirements

This summary is on employment laws relating to the agricultural industry.

Publication F700-124-000
Supplemental Quarterly Report for the Drywall Industry

Used by drywall companies to file their quarterly report. Must accompany the Drywall Industry Owner/Sub-Contractor Report (F212-050-000).

Form F212-051-000
Temporary Licensed Elevator Mechanic

This temporary license is limited to the mechanical and electrical operation, construction, installation, alteration, maintenance, inspection, relocation and repair of conveyances.

Form F621-068-000
Washington Contractor's License Bond Address Change Rider

Used by the bond company to change the address of the contractor's business.

Form F625-104-000
Washington Contractor's License Bond Bond Amount Rider

Used by the bond company to amend the amount of the contractor's bond.

Form F625-102-000
Washington Contractor's License Bond Date Change Rider

Used by the bond company to change the effective date of the contractor's bond.

Form F625-101-000
Washington Contractor's License Bond Entity Change Rider

Used by the bond company to show a change in the business structure of a contractor's business.

Form F625-103-000
Washington Contractor's License Bond License Number Change Rider

Used by the bond company to change the contractor's business license number.

Form F625-100-000
Washington Contractor's License Bond Name Change Rider

Used by the bond company to change the name of the contractor's business.

Form F625-099-000
Washington Contractor's License Bond Validation Rider

This rider is intended to be used in conjunction with a bond.

Form F625-098-000
Washington State Prevailing Wage Law

Booklet: Contains the prevailing wage laws (RCWs) and rules (WACs) as well as plain language descriptions and contact information.

Manual F700-032-000
What to Do if You Want to File Suit Against Your Construction Contractor

Fact sheet: Provides consumers with general information about the process for filing suit, and describes L&I's limited role in serving Summons & Complaint papers.

Publication F625-088-000
Worker Rights Complaint Form
Available in: Spanish

This is the NEW Worker Rights Complaint Form. IMPORTANT: The Prevailing Wage Complaint form is now F700-146-000.

Form F700-148-000
Workers' Comp Fraud Hurts YOU

Pamphlet: Explains the impacts of workers' comp fraud and L&I's efforts to prevent and find fraud by workers, employers, contractors, and medical providers.

Publication F262-279-000
Your Manufactured / Mobile Home
Available in: Spanish

Pamphlet/booklet: Covers things you should consider when altering your home. Defines what is meant by alteration, repair and replacement and includes tips for hiring a registered contractor. It also includes contact information for L&I Consumer Assistance Program for owners of new manufactured/mobile homes.

Publication F622-049-000
Your Manufactured/Mobile Home-Spanish (Casas prefabricadas y móviles: Lo que los dueños de casas y contratistas deben saber al modificar una vivienda)
Available in: English

Pamphlet/booklet: Covers things you should consider when altering your home. Defines what is meant by alteration, repair and replacement and includes tips for hiring a registered contractor. It also includes contact information for L&I Consumer Assistance Program for owners of new manufactured/mobile homes.

Publication F622-049-999
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