| Title |
Type |
Number |
A Guide to Hiring Independent Contractors in Washington State
Available in: Spanish
Pamphlet/booklet: Designed to help employers determine if their workers are employees or independents under Washington's workers' compensation, workplace safety, wage and hour and unemployment tax laws. Includes a short "test" and helpful references. |
Publication
|
F101-063-000 |
Account Deposit for Contractor's or Miscellaneous Account Holder's
Used to deposit money into your L&I account (Electrical). |
Form
|
F500-080-000 |
Affidavit of Wages Paid - Public Works Contract - SAMPLE ONLY
Sample copy with instructions: Used by a contractor, company or agency to show the wages paid to employees. This needs to be filed at the completion of a public works job/project. This PDF file will not print. Copies are available in the warehouse, 25 per pad. |
Form
|
F700-007-000 |
Affidavit of Wages Paid Addendum B List of Next Tier Subcontractors - Public Works Contract
Copies of the 05-2008 version will be available in the warehouse later in July. |
Form
|
F700-143-000 |
Affidavit to Release Public Records
This form is to request L&I to release public records in the contractors registration section. |
Form
|
F625-066-000 |
Agreement - Farm Labor Contractors and Workers
Available in: Spanish
Employment wages and conditions agreement with Farm Labor Contractors and Workers |
Form
|
F700-046-000 |
Agreement - Farm Labor Contractors and Workers - Spanish - Acuerdo Entre Contratistas Agrícolas Y Trabajadores
Available in: English
Employment wages and conditions agreement with Farm Labor Contractors and Workers |
Form
|
F700-046-999 |
Application for Asbestos Contractor Certification
Contractors use this form to apply to be a certified asbestos contractor in Washington state. |
Form
|
F413-007-000 |
Application for Contractor Registration
This is the form you would complete to register as a general contractor or specialty contractor. This is not in the warehouse. Please print off of the internet. |
Form
|
F625-001-000 |
Application for Electrical Contractors License
Application used to get an electrical contractors license |
Form
|
F500-018-000 |
Application for Licensure as an Elevator Mechanic
This is an application for certification as an Elevator Mechanic and is NOT a license to perform work.
A contractor's license is still required by L&I. |
Form
|
F621-067-000 |
Application for Pump Installer Combination General Contractor Registration and Electrical Contractor License
Used for creating combination electrical and plumbing contractors license |
Form
|
F500-104-000 |
Application for Telecommunications Contractor's License
Application used to get an telecommunications contractors license. |
Form
|
F503-008-000 |
Application to Access L&I's Electrical Permit and Inspection System (EPIS) from SecureAccess Washington and Utilize Contractor Deposit Account via the Internet
To establish a contractor deposit account by an electrical contactor or registered construction contractors who are legally required to purchase electrical work permits from L&I. |
Form
|
F500-055-000 |
Application to Establish an Account and Access to L&I's Electrical Permit & Inspection System (EPIS) with L&I's Miscellaneous Accounts
To request access to L&I's EPIS - Miscellaneous Accounts |
Form
|
F500-054-000 |
Application to Establish an Factory Assembled Structure Deposit Account with the Dept. of Labor and Industries
Use to establish a factory assembled structure (FAS) deposit account. FAS deposit accounts are for businesses or other entities that are not currently licensed or registered with L&I as electrical or construction contractors but are legally required to purchase work permits from L&I. (3 pgs) |
Form
|
F120-116-000 |
Assignment of Account - WA State Banks Only
Contractors may use this form to request an Assignment of Account in lieu of a surety bond. The amount of the surety bond would need to be placed into an account at a WA State Bank. |
Form
|
F625-008-000 |
Assignment of Account or Time Deposit for Insurance - Bodily Injury - WA State Banks Only
Contractors may use this form to request an Assignment of Account in lieu of an insurance policy for bodily injury. The amount of the insurance policy would need to be placed into an account at a WA State Bank.
|
Form
|
F625-082-000 |
Assignment of Account or Time Deposit for Insurance - Property Damage - WA State Banks Only
Contractors may use this form to request an Assignment of Account in lieu of an insurance policy for property damage. The amount of the insurance policy would need to be placed into an account at a WA State Bank. |
Form
|
F625-083-000 |
Avoid Liability for Your Subcontractor's Unpaid Workers' Comp Premiums
Available in: Spanish
Fact sheet: Tells construction contractors how to protect themselves from liability for their subcontractor's unpaid workers' compensation premiums. |
Publication
|
F262-262-000 |
Before Electrical Sign Work Begins: What Electrical Sign Contractors and Electricians Should Know
Fact Sheet: Explains work that is allowed and not allowed under (04) Sign Scope of Work and what electrical sign contractors and electricians should know before doing sign work. Also covers electrical Class B labels and electrical permits, inspections and fees. |
Publication
|
F500-111-000 |
Certified Project Payroll
There are instructions in one PDF file, and a blank form that may be printed in the other PDF. The word document is saved in Microsoft 2003 format and is a fillable word form. |
Form
|
F700-065-000 |
Construction Contractor's Application for Worker's Compensation Account with No Worker Hours
Used by employers with no employees or worker hours to report but need an open account for contract bidding process. |
Form
|
F625-077-000 |
Construction Contractors: Get the Facts, Get Registered
Available in: Spanish
Pamphlet/booklet: Explains the steps to register as a construction contractor in Washington State. |
Publication
|
F625-040-000 |
Construction Contractors: Get the Facts, Get Registered - Spanish (Contratistas de Construcción:
Obtenga los datos, regístrese)
Available in: English
Pamphlet/booklet: Explains the steps to register as a construction contractor in Washington State. |
Publication
|
F625-040-999 |
Construction Lien Notice
This form is to be used by suppliers to notify homeowners that they have the ability to file a construction lien against their property if payment is not received. |
Form
|
F625-054-000 |
Continuous Contractor's Surety Bond
This form is used for the surety bond for construction contractors. |
Form
|
F625-003-000 |
Contractor Complaint Form
Used by a home owner to file a complaint against a contractor. |
Form
|
F625-033-000 |
Contractor Electrical Work Permit Application
This application is used to apply for a valid electrical permit from L&I. 4 pages. |
Form
|
F500-093-000 |
Contractor Financial Information
Used by the contractor to request L&I to release assignment of account that they used instead of a surety bond. |
Form
|
F625-061-000 |
Contractor Registration Request for Duplicate License or Address Change
Contractor Registration Request for Duplicate License or Address Change |
Form
|
F625-108-000 |
Contractor Regsitration Officers/members Addendum
Contractor Regsitration Officers/members Addendum |
Form
|
F625-109-000 |
Contractors: What if You Get a Notice of Infraction?
Pamphlet/booklet: Tells contractors what their options are and what to do if they get a Notice of Infraction (a non-criminal violation). |
Publication
|
F625-097-000 |
Danger! Minimum Clearance for Counter Balance - Construction
Sticker: 30 inches long. |
Publication
|
FSP0-974-000 |
Department of Employment Security Tax Compliance Certification
Form to gain Department of Employment Security Tax Compliance Certification for registered Farm Labor Contractors. |
Form
|
F700-099-000 |
Department of Labor and Industries Home Modification Acknowledgement of Responsibilities
Used by both workers and bidding contractors to read, sign and submit to L&I to verify that they have read, understand and accept their respective responsibilities in the home modification process. |
Form
|
F247-003-000 |
Department of Revenue Tax Compliance Certification
Form to gain Department of Revenue Tax Compliance Certification for registered Farm Labor Contractors. |
Form
|
F700-100-000 |
Drywall Contractors
Quick reference guide: Used by drywall contractors to get answers to questions about being a drywall contractor and how it relates to L&I. |
Form
|
F214-024-000 |
Electrical / Telecommunication Contractor's License Renewal Notice
This form is used to notify you that your license will expire and for you to use to renew your license. |
Form
|
F500-077-000 |
Electrical Work Permit Refund Request
To apply for an electrical work permit refund. Online only. |
Form
|
F500-074-000 |
Electrical/Telecommunications Contractor Assignment of Savings Account
This is used to assign ownership interest to a savings account that is held by L&I for one year after a contractor's license has expired or after the contractor ceases business in Washington State. |
Form
|
F500-020-000 |
Electrical/Telecommunications Contractor's Bond to the State of WA
Used to show proof of a bond in the State of Washington. |
Form
|
F500-019-000 |
Elevator Continuing Education Course Application
This is used to apply for approval of elevator related continuing education courses. |
Form
|
F621-077-000 |
Elevator/General/Specialty Contractor Responsibility on New Installations
Checklist for the elevator company/contractor to complete before the call L&I for an elevator inspection. |
Form
|
F621-057-000 |
Facts About Construction Liens
Fact sheet: Explains the basics of the construction lien law to help consumers protect themselves. |
Publication
|
F625-017-000 |
Farm Labor Contractor Registration Fact Sheet
What Farm Labor Contractors need to know to Register for a License. |
Publication
|
F700-088-000 |
Farm Labor Contractors Bond
Notarized farm labor contractors bond coverage. |
Form
|
F700-066-000 |
Filing Suit Against an Electrical Contractor
Instructions for filing suit against an electrical contractor |
Form
|
F625-053-000 |
Hiring a Contractor or Remodeler? What You Should Know
Available in: Spanish
Pamphlet/booklet: Provides a checklist for consumers considering hiring a general or specialty construction contractor, reviews the permitting process, and suggests ways to avoid lien problems. Washington State law requires contractors to register with L&I. |
Publication
|
F625-084-000 |
Hiring a Contractor or Remodeler? What You Should Know-Spanish (¿Piensa contratar a un contratista de construcción o remodelador?)
Available in: English
Fact sheet: Provides a checklist for consumers considering hiring a general or specialty construction contractor, reviews the permitting process, and suggests ways to avoid lien problems. Washington State law requires construction contractors to register with L&I. |
Publication
|
F625-084-999 |
Home Modification for Workers with Catastrophic Injuries
Fact sheet: Answers questions about the home modification benefit in Washington State's workers' compensation program, who qualifies, what L&I can pay, and where to get more information. |
Publication
|
F252-060-000 |
Home Modification for Workers with Catastrophic Injuries - Questions and Answers for Contractors
Fact sheet: Answers questions about the home modification benefit in Washington State's workers' compensation program and the bid process for contractors interested in this work. |
Publication
|
F252-061-000 |
Independent Contractors
Quick reference card: Provides information to help determine whether a "subcontractor" working for you meets the legal requirements to be an independent contractor, or whether he/she is actually a covered worker for workers' compensation (industrial insurance) purposes. |
Publication
|
F214-012-000 |
Internal Revenue Service Tax Compliance Certification
Form to gain Internal Revenue Service Tax Compliance Certification for registered Farm Labor Contractors. Now includes IRS form 8821 Tax Information Authorization. |
Form
|
F700-098-000 |
License Requirements for Elevator Mechanics and Contractors
Fact sheet: Explains licensing and testing requirements for mechanics who work on elevators and for contractors who install, repair or maintain elevators. |
Publication
|
F621-070-000 |
Licensed Elevator Contractor (LC) Operation
Contractors who install, construct, repair, alter or maintain elevators need to be licensed by the Elevator Program through L&I and with L&I's contractor registration program. |
Form
|
F621-069-000 |
Model Disclosure Statement Notice to Customer
This disclosure statement is given to the consumer (customer) from the contractor showing they are registered in the state of Washington. The consumer (customer) signs this form as acknowledgement of receipt. |
Form
|
F625-030-000 |
Online Electrical Services: Tools for Property Owners, Contractors and Electricians
Fact Sheet: Describes the online services available from L&I's Electrical Program, including URLs for different topics covered on the Web, how to sign up for the Electrical listserv (to receive updates by e-mail), and how to sign up for the monthly e-newsletter, also provided by e-mail. |
Publication
|
F500-113-000 |
Quarterly Reporting for Drywall
Available in: Spanish
Used by drywall employers as a guide to completing quarterly and supplemental reports. This includes filled out samples of F212-050-000 and F212-051-000. |
Form
|
F212-224-000 |
Reassignment of Savings Account or Time Deposit - Construction Contractors
Contractors may use this form to request changes to a Assignment of Savings that was filed in lieu of a surety bond or insurance policy. |
Form
|
F625-011-000 |
Reassignment of Savings Account or Time Deposit - Electrical Contractor
A reassignment is permitted only when (1) the Electrical Contractor (assignor) changes the name of the business; (2) the Electrical Contractor transfers the funds to a new account; or (3) the financial institution changes the account number. |
Form
|
F500-072-000 |
Record Keeping
Quick reference card: Identifies the type of records employers, including construction contractors, need to keep to allow L&I to compute premiums. |
Publication
|
F214-011-000 |
Reforestation Industry Continuation Sheet (Over $10,000)
Used by contractors to report contracts over $10,000. Reforestation industry contractors must report worker hours for each individual contract with a timber landowner. This form should accompany the quarterly report. |
Form
|
F213-015-000 |
Registered Contractor Card
This is a fillable version of the Registered Contractot Card |
Form
|
F625-069-000 |
Release of Lien by Contractor and Subcontractor(s) - Sample only
This is a sample of a release of lien by a contractor or a subcontractor. |
Form
|
F625-029-000 |
Renewal Application for Contractor Registration
Renewal Application for Contractor Registration |
Form
|
F625-107-000 |
Renewal of Contractor Elevator License
Used by Elevator Companies to renew their Contractor License. |
Form
|
F621-082-000 |
Renewal of Elevator Mechanic License
Used by elevator mechanics to renew their license if they do not want to use the on-line "Get or Renew a License". |
Form
|
F621-080-000 |
Reporte Trimestral Para La Industria De Tabla De Yeso
Available in: English
Used by drywall employers as a guide to completing quarterly and supplemental reports. This includes filled out samples of F212-050-000 and F212-051-000. |
Form
|
F212-224-999 |
Request for Duplicate Elevator Certificate
Used to request a duplicate elevator license or a duplicate operating permit for a conveyance. |
Form
|
F621-065-000 |
Request for Archive Records - Contractor Registration
This form is to request L&I to release archive records in the contractors registration section. |
Form
|
F625-094-000 |
Request for Contract Release
This is the form used by public agencies to request L&I’s approval to release retainage. All known contractors are to be listed on the request form. This form is used for L&I purposes only. Public agencies submit a different form to DOR to obtain approval from DOR and ESD. There are two files - am image only Adobe file and a fillable word document. |
Form
|
F215-038-000 |
Statement of Intent to Pay Prevailing Wages Public Works Contract SAMPLE ONLY
Sample copy of the form that Contractors and Sub-contractors file a Statement of Intent to Pay Prevailing Wages public works contract upon accepting work on a public works project. This PDF file will not print. Copies are in the warehouse, order by the pad (25 a pad). |
Form
|
F700-029-000 |
Subscription Request for Construction Contractor and Electrical Basic - CD
This form is to be used to purchase the CD ROM of registered construction contractors, registered electrical contractors, plumbers and electricians. |
Form
|
F625-051-000 |
Temporary Licensed Elevator Mechanic
This temporary license is limited to the mechanical and electrical operation, construction, installation, alteration, maintenance, inspection, relocation and repair of conveyances. |
Form
|
F621-068-000 |
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 |
Washington Contractor's License Bond Bond Amount Rider
Used by the bond company to amend the amount of the contractor's bond. |
Form
|
F625-102-000 |
Washington Contractor's License Bond Date Change Rider
Used by the bond company to change the effective date of the contractor's bond. |
Form
|
F625-101-000 |
Washington Contractor's License Bond Entity Change Rider
Used by the bond company to show a change in the business structure of a contractor's business. |
Form
|
F625-103-000 |
Washington Contractor's License Bond License Number Change Rider
Used by the bond company to change the contractor's business license number. |
Form
|
F625-100-000 |
Washington Contractor's License Bond Name Change Rider
Used by the bond company to change the name of the contractor's business. |
Form
|
F625-099-000 |
Washington Contractor's License Bond Validation Rider
This rider is intended to be used in conjunction with a bond. |
Form
|
F625-098-000 |
What to Do if You Want to File Suit Against Your Construction Contractor
Fact sheet: Provides consumers with general information about the process for filing suit, and describes L&I's limited role in serving Summons & Complaint papers. |
Publication
|
F625-088-000 |
Workers' Comp Fraud Hurts YOU
Pamphlet: Explains the impacts of workers' comp fraud and L&I's efforts to prevent and find fraud by workers, employers, contractors, and medical providers. |
Publication
|
F262-279-000 |