Get a Form or Publication: change of address

Your search for "change of address" returned 16 documents.

Title Type Number
Address Change Request for Injured Workers - (Spanish) Solicitud para Cambio de Direccion para Trabajadores Lesionados
Also available in: English

Completed and signed by a State Fund injured worker to notify L&I of a change in address. All address changes must be submitted in writing and signed by the injured worker.

Form F242-388-999
Address Change Request for Pensioners - (Spanish) Solicitud para Cambio de Direccion para Pensionados
Also available in: English

Used by the pensioner to notify L&I of a new mailing address. L&I must receive this form by the first day of the month so your monthly payment is received in a timely manner.

Form F242-107-999
Contractor Registration Request for Duplicate License or Address Change  

This form may be faxed to the Contractor Registration office in Tumwater.

Form F625-108-000
Provider Credentialing Change Form

Providers use this form to notify L&I of a change of their business address, billing address and account termination. Also has info on how to notify L&I on a tax ID (EIN) number change, tax ID address change and/or name change.

Form F245-365-000
Address Change Request for Injured Workers
Also available in: Spanish

Completed and signed by a State Fund injured worker to notify L&I of a change in address. All address changes must be submitted in writing and signed by the injured worker.

Form F242-388-000
Address Change Request for Pensioners
Also available in: Spanish

Used by the pensioner to notify L&I of a new mailing address. L&I must receive this form by the first day of the month so your monthly payment is received in a timely manner.

Form F242-107-000
Crime Victims Address Change Request

Crime Victims Address Change Request

Form F800-112-000
Elevator Information Update

This form is required by L&I before they can process any changes to the ownership, physical or mailing address.

Form F621-050-000
Elevator Mechanic and Elevator Temporary Mechanic Address/Mailing Information Update

Elevator Mechanic and Elevator Temporary Mechanic Address/Mailing Information Update

Form F621-100-000
Equal Employment Opportunity (EEO) Resource & Referral Update Form

Used by an organization to get on the Apprenticeship Program equal opportunity resources list or use to update their information on the list.

Form F100-513-000
Plumber Request for Change of Address

Plumber Request for Change of Address

Form F627-039-000
Provider Change Form for Crime Victims Compensation

Providers use to inform L&I that they have changes to their account. Such as changes to their Tax ID address/name, business address, billing address, name, or termination of account. This also includes a W-9 form.

Form F800-089-000
Registered Apprenticeship Program Address/Mailing Information Update

Used by the Registered Apprenticeship Program to update their address or mailing information. (Note: This DOES NOT update your program standards information.) You should ensure that your address information in the Standards is correct.

Form F100-512-000
Request for Change of Address

Used by electrical licensee to notify L&I of an address change.

Form F500-044-000
Test Log for Periodic Inspections & Tests for Hydraulic Elevators

ASME A17.1 requires periodic tests on various types of elevator equipment. This form is used as documentation to test hydraulic elevators.

Form F621-046-000
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



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