Notice of Occupational Disease or Infection

Document Information
  How to complete a fillable form.
Title Notice of Occupational Disease or Infection (English)
Document number F242-243-000
Document type Form
How to get this document
Check for alternate languages of this document
Valid dates 12/2012
Contact information Claims for Job Injuries

End of main content, page footer follows.

Access Washington official state portal

   © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.

Help us improve