| Supplemental Out-of-State Reporting |  | |
 |
 |
 |
|||
|
|||||
 |
 |
||||
Extraterritorial coverage
Rules for reporting out-of-state work to L&I without paying premiums.
Supplemental out-of-state no premium reports
To file supplemental out-of-state reports for out-of-state work.
Complete an out-of-state reporting application. If you want to report work in more than 1 state, you will need to complete a separate application for each state. You need to submit a new application every year you want to report out-of-state hours without paying premiums to L&I.
Provide a valid certificate of liability insurance for workers' compensation from an out-of-state insurer with each application. (You are required to report all of the wages reported on your out-of-state supplemental reports to an out-of-state worker's compensation insurer).
Paying premiums to L&I for out-of-state work
You must report out-of-state hours and pay premiums to L&I for your Washington workers if:
- You don't apply for out-of-state supplemental reporting.
- Your application for out-of-state reporting is denied.
- You fail to provide proof of out-of-state workers' compensation insurance.
When a Washington worker is injured out-of-state
The injured worker has a right to file a claim in Washington. They can file the claim with L&I even if you're reporting their hours on a out-of-state report and paying premiums on them to an out-of-state insurer.
You are required to inform the worker of their right to file in Washington State.
For out-of-state reporting:
Application for Out of State Supplemental Reporting (F212‑234‑000).
Employer's Out-of-State Supplemental Quarterly Report for Workers' Compensation (F212‑233‑000).
