Report of Accident - Injured Worker Instructions

Document Information
  How to complete a fillable form.
Title Report of Accident - Injured Worker Instructions (Spanish)
Document number F242-134-999
Document type Form
How to get this document
  • Order it from our Warehouse

  • Check for alternate languages of this document
    Valid dates 12/2017
    Contact information Claims
    Related information
    Documents Report of Accident (ROA) Workplace Injury, Accident or Occupational Disease
    Websites

    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