Get a Form or Publication: deposit account

Your search for "deposit account" returned 8 documents.

Title Type Number
Authorization for Deposit of Payments
Also available in: English/Spanish

Used by pensioner to authorize L&I to deposit the pension payment to any designated financial institution.

Form F242-174-000
Account Deposit for Contractor's or Miscellaneous Account Holder's

Used to deposit money into your L&I account (Electrical).

Form F500-080-000
Account Deposit for Factory Assembled Structures Account Holders

You must have a contractor license number or have completed an application for a miscellaneous account to use this form.

Form F622-081-000
Acknowledgement of Security Interest

Used to acknowledge that funds have been deposited into an account at a bank for the purpose of providing payment for the workers' compensation benefits and assessments in the event of default by the self-insurer.

Form F207-143-000
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 ACCESS L&I’s ELECTRONIC PERMIT & INSPECTION SYSTEM (EPIS) FROM SECURE ACCESS WASHINGTON AND UTILIZE CONTRACTOR DEPOSIT ACCOUNT VIA THE INTERNET

Form F621-094-000
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
Farm Labor Contractor Assignment of Account or Time Deposit

Farm Labor Contractor assignment of account or tme deposit for employee

Form F700-060-000



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