If you are injured at work, you and the doctor who treats you will fill out an accident report form. Your claim is filed when your doctor sends this report to L&I for processing. (NOTE: If your employer is self-insured, you will file your claim directly through them. Contact your personnel department for help.)
Your paperwork will depend on the type of injury or occupational disease you are claiming. Read it carefully, respond promptly, and keep copies of everything. Always put your claim number on your paperwork and have it handy when you call L&I or your self-insured employer.
L&I or your self-insured employer must receive your claim application within one year of your injury date to file a claim. We must receive it within two years from the date of your doctor's diagnosis for occupational disease claims.
Yes. You can file by phone at 1-877-561-FILE.
Information about your injury, employer, wages, diagnosis, treatment and other background information. (Note: The report is called the Report of Industrial Injury or Occupational Disease. If your employer is self-insured, it is called the Self Insurer Accident Report (SIF-2). Your doctor may complete the Physicians Initial Report. If your injury limits your ability to work, your doctor will also complete an Activity Prescription Form (F242‑385‑000).)
If you're an apprentice, you should look at What to Do If Injured as an Apprentice on the job or during training.
Your doctor has five days to send the report to L&I or your self-insured employer. L&I's or your self-insured employer's processing time will vary, depending on the type of claim. If you are eligible for wage-replacement benefits, and no further information is needed, L&I or your self-insured employer sends the first benefit check within 14 days of receiving the report.
If you are still confused by the claim process, you can call Project HELP at 1-800-255-9752. They are a cooperative effort between L&I and the Washington State Labor Council (AFL-CIO), and can provide you with one-on-one counseling to help you navigate the claims process.
Project HELP can assist you with both self-insured and state fund claims.
Please let us know right away, so your claim isn't delayed. Address changes at L&I must be made in writing via fax or mail and include your claim number and authorizing signature. You can also update your information in the Claim & Account Center
. If your employer is self‑insured, send a written notification to both L&I and your employer or their third-party administrator (TPA).
For doctor changes, let us know online at www.TransferCare.Lni.wa.gov or use the Case Transfer Card (F245‑037‑000).
Clearly filling out the accident report form and explaining your injury will reduce delays and help ensure you get all the benefits to which you are entitled.
We know that as an injured worker you probably want to check on the progress of your claim as decisions about eligibility and benefits are made.
Note that online claim files for self-insured employers have limited information available including:
Contact your self-insured employer for a complete copy of your file.
Find out if you work for a self-insured employer. About a third of all Washington employees do.
Your claim manager's phone number is located on all correspondence. You may also contact your local L&I office and ask for a "48-hour phone referral." Your claim manager should call you within 48 hours.
For self-insured claims management questions, contact your employer or their claim representative.
Sometimes, a claim manager will authorize an independent medical exam for an injured worker. This means another doctor will be evaluating your medical condition.
These exams (called "IMEs") are performed when:
Doctors or panels of doctors who regularly give impartial medical opinions about a worker's condition or medical treatment. A claim manager will request it for you, if needed.
L&I pays for the cost of the exam, as well as any expenses you may have traveling to the exam or missing work.
More IME information is contained in the pamphlet Your Independent Medical Examination (F245‑224‑000).
An IME Comments Form (F245‑053‑000) is available online or you may call 1‑888‑784‑8059 to request a comment form. You can specify your preferred language.
If you do not attend your scheduled Independent Medical Exam, you may be charged a no-show fee. Also, you may jeopardize any benefits you are receiving.
Workers who are injured on the job and file a claim with L&I have rights to:
Your employer may not discriminate against you simply because you filed a claim. However, your employer may fire you and replace you with another worker if no one else can do your job and no light-duty jobs are available - or if your injury happened because you violated a safety rule.
Washington's workers' compensation is "no-fault" insurance. Workers are covered regardless of what caused the on-the-job injury. However, if it was caused by the failure of a machine, product or someone who is not your coworker, you have the right to sue such a "third party."
You may change doctors as long as your claim manager approves it. Use the online Transfer of Care or by completing a Case Transfer card. If you wish to get a second medical opinion — about your treatment or upcoming surgery, for example — call your claim manager for approval.
Yes. You may receive benefits regardless of who was at fault.
Yes. You and your doctor may apply to reopen your claim if there is objective medical evidence (physical evidence your doctor can measure) that your medical condition is a result of the same injury and that it has worsened since the claim closed.
If you disagree with an L&I decision as your claim is being processed, you, your employer and your doctor all have the right to protest. Read protest instructions.
Dispute a decision your self-insured employer has made on your claim by writing to the Self-Insurance Section at L&I.
If you are still confused by the claim process, you can call Project HELP at 1-800-255-9752. They are a cooperative effort between L&I and the Washington State Labor Council (AFL-CIO), and can provide you with one-on-one counseling to help you navigate the claims process.
Project HELP can assist you with both self-insured and state fund claims.
Some injuries are so severe you cannot go back to work at your regular job right away. However, most L&I claims are for back and muscle strains or injuries to the hands and feet. In these cases, you can ask your employer for a different duty or fewer hours while you recover, as long as your doctor approves it.
We will reimburse your employer 50% of your base wage, as well as expenses such as training and tools related to the light-duty job, because we know that getting back to work in a light-duty job can help you recover faster. More on eligibility at www.StayAtWork.Lni.wa.gov.
If your employer offers you a job that your doctor approves, you must take the job in order to continue receiving benefits. However, you are not required to accept any job that would violate your doctors restrictions.
You may apply for Loss of Earning Power benefits through L&I. This program will help supplement your salary while you are working, if your claim is still open.
Time-loss benefits help workers who miss more than three days of work right after the accident. But these benefits only cover a portion of their lost wages (60% for a single person). More on benefit calculations in the Workers Guide to Industrial Insurance (F242‑104‑000), pages 8 to 9.
Stay at Work reimburses your employer to keep you working in a light-duty or modified job while you recover.
You are more likely to earn close to your original wage/salary on a light-duty job than you are on time-loss. You also stay connected to your workplace and your job. Studies show that the longer you are off work, the harder it is to get back to your original job and wages.
It benefits your employer because they get paid 50% of your base wage, as well as expenses such as training and tools related to the light-duty job. They also get to keep an experienced employee on board.
Many employers actively seek light-duty jobs for recuperating workers, with a doctor's approval. This can dramatically reduce their workers' compensation costs.
A Washington worker can file a claim in Washington even if the injury occurs out of state. You may file a claim in both Washington State and in the state or country in which you were injured, but any benefits you receive from another state will be credited against any benefits to which you may be eligible from L&I.
You are considered a worker of whatever state your employer has a place of business, if you regularly work at or from that place of business.
If your employer doesn't have a place of business in the state where you work, you are considered a worker of the state you reside, if you work a substantial amount of your time in the state where you reside.
If your employer has no business location in the state you work, and you don't live in the state you work, then you will be a Washington worker only if your contract of hire was made in the state of Washington.
More about workers' comp claims
Claim information online in Claim & Account Center
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