Forms and Publications

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Agency Requested Inspection
Form
F500-025-000  
Annual Supplemental Surety Information
Form
F207-125-000  
Application for Elective Coverage - Sole Proprietor, Partners, For-Profit Corporate Officers, or Member/Managers of Limited Liability Company (LLC)
Form
F213-042-000  
Application for out of State Supplemental Reporting
Form
F212-234-000  
Cancellation of Elective Coverage - Sole Proprietors/Partner, Member of Limited Liability Company (LLC), Member of Limited Liability Partnership (LLP) or For-Profit Corporate Officers
Form
F213-004-000  
Cancellation of Elective Coverage for Excluded Employments
Form
F213-005-000  
Challenges and Change: Managing and Innovating through The Great Recession — L&I from 2005-2012
Publication
F101-102-000  
Contract: Report By Contractor - Forest, Range & Timber Industry
Form
F213-011-000  
Contract: Report By Landowner - Forest, Range & Timber Industry
Form
F213-010-000  
CVCP Opioid Progress Report Chronic, Non-Cancer Pain and Treatment Agreement.
Form
F800-116-000  
Drywall Industry - Owner/Sub-Contractor Report
Form
F212-050-000  
Employers' Guide to Workers' Compensation Insurance in Washington State
Publication
F101-002-000

World Language(s):
Español  
Guía del Empleador para el Seguro de compensación para trabajadores en el Estado de Washington
Publication
F101-002-999

World Language(s):
Inglés  
Incident Report Boiler or Pressure Vessel
Form
F620-044-000  
Instructions for completing the Workers' Compensation Employer's Quarterly Report
Form
F212-239-000  
Instructor's Report of Accident / Incident
Form
F100-509-000  
Mechanized Logging Supplemental Quarterly Report
Form
F212-223-000  
Non-Compliance Report - Boiler & Pressure Vessel Inspection
Form
F620-012-000  
Payroll Service Provider - Quarterly Reporting Bulk Filing Enrollment Form
Form
F248-343-000  
Performance Based Physical Capacities Evaluation
Form
F245-023-000  
Provider's Initial Report (PIR)
Form
F207-028-000  
Provider's Initial Report (PIR)
Form
F207-028-000  
Provider's Initial Report (PIR)
Form
F207-028-000  
Provider's Initial Report (PIR)
Form
F207-028-000  
Provider's Initial Report (PIR)
Form
F207-028-000  
Provider's Initial Report (PIR)
Form
F207-028-000  
Quarterly Reporting for Drywall
Form
F212-224-000

World Language(s):
Español  
Quarterly Statement of Supplemental Benefits Paid for Self-Insured Employers
Form
F207-011-000  
Reforestation Contract Supplemental Report - Forest, Range and Timber Industry
Form
F213-013-000  
Reforestation Industry Continuation Sheet (Over $10,000)
Form
F213-015-000  
Report of Accident (ROA) Workplace Injury, Accident or Occupational Disease
Form
F242-130-000

World Language(s):
Español  
Report of Accident (ROA) Workplace Injury, Accident or Occupational Disease
Form
F242-130-000

World Language(s):
Español  
Report of Accident (ROA) Workplace Injury, Accident or Occupational Disease
Form
F242-130-000

World Language(s):
Español  
Reporte trimestral para la industria de tabla de yeso
Form
F212-224-999

World Language(s):
Inglés  
Reporte trimestral para la industria de tabla de yeso
Form
F212-224-999

World Language(s):
Inglés  
Self Insurance Continuing Education Report of Course Completion
Form
F207-191-000  
Self Insurance Continuing Education Report of Course Completion
Form
F207-191-000  
Self-Insurance Report of Occupational Injury or Disease (SIF-5)
Form
F207-005-000  
Self-Insurance Report of Occupational Injury or Disease (SIF-5)
Form
F207-005-000  
Self-Insurance Report of Occupational Injury or Disease (SIF-5)
Form
F207-005-000  
Self-Insurer Accident Report (SIF-2)
Form
F207-002-000  
Self-Insurer Accident Report (SIF-2)
Form
F207-002-000  
Self-Insurer Accident Report (SIF-2)
Form
F207-002-000  
Supervisor's Report of an Accident
Form
F417-048-000  
Supervisor's Report of an Accident
Form
F417-048-000  
Supplemental Quarterly Report for the Drywall Industry
Form
F212-051-000  
Washington State Top 25 Hazardous Industries, 2006 to 2010
Publication
F417-243-000  
Washington State Top 25 Hazardous Industries, 2008 to 2012
Publication
F417-258-000  
Washington Workers Insured Out-of-State: Employer's Supplemental Quarterly Report for Workers' Compensation
Form
F212-233-000  
Washington Workers Insured Out-of-State: Employer's Supplemental Quarterly Report for Workers' Compensation
Form
F212-233-000  
Workers' Compensation Employer's Quarterly Report
Form
F212-055-000  
Workplace Safety and Health Pocket Guide
Publication
F417-241-000  
2006 Annual Report - Department of Labor & Industries
Publication
F101-078-000  
Detenga la contratación ilegal. Si ve una situación de esta índole, denúnciela.
Publication
F625-114-999

World Language(s):
Inglés  
Stop illegal contracting: See it? Report it.
Publication
F625-114-000

World Language(s):
Español  





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