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Results for: Claims and Insurance - Insurance Coverage
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La resolución de su reclamo con L&I podriá ser su mejor opción: Una opción para trabajadores lesionadosde 50 años de edad o más  


Publication
F240-003-999

World Language(s):
Inglés
 
3 Things to Know about L&I's Medical Provider Network


Publication
F242-406-000

World Language(s):
Español
 
A Guide to Workers' Compensation Benefits For Employees of Self-Insured Businesses


Publication
F207-085-000

World Language(s):
Español
 
Amendment of Irrevocable Standby Letter of Credit


Form
F207-112-111
 
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 Elective Coverage of Excluded Employments


Form
F213-112-000
 
Application for Exclusion/Inclusion - Mandatory Coverage (Family Farm)


Form
F213-113-000
 
Application for Limited Elective Coverage for Licensed Pony Riders


Form
F250-026-000
 
Application for out of State Supplemental Reporting


Form
F212-234-000
 
Application for Self-Insurance Certification


Form
F207-001-000
 
Avoid Liability for Your Farm Labor Contractor's Unpaid Debits / Evite su obligación por deudas no pagadas de su contratista de trabajadores agrícolas (English/español)


Publication
F700-154-909
 
Beneficios de compensación para los trabajadores: una guía para los trabajadores lesionados


Publication
F242-104-999

World Language(s):
Inglés
 
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
 
Certificado de cobertura - ejemplo


Form
F211-141-999

World Language(s):
Inglés
 
Certificate of Coverage - SAMPLE ONLY


Form
F211-141-000

World Language(s):
Español
 
Construction Contractor's Application for Workers' Compensation Account with No Workers or Hours


Form
F625-077-000
 
Construction Industry Classification Guide


Publication
F213-008-000
 
Contract: Report By Contractor - Forest, Range & Timber Industry


Form
F213-011-000
 
Contract: Report By Landowner - Forest, Range & Timber Industry


Form
F213-010-000
 
Coverage Agreement


Form
F212-044-000
 
Cuando un ser querido fallece en el lugar de trabajo


Publication
F417-240-999

World Language(s):
Inglés
 
Declaración para servicios misceláneos


Form
F245-072-999

World Language(s):
Inglés
 
Desarrollo del plan: ¿Cuáles son mis derechos y responsabilidades? Servicios de rehabilitación vocacional


Publication
F280-018-999

World Language(s):
Inglés
 
Drywall Industry - Owner/Sub-Contractor Report


Form
F212-050-000
 
Employers' Guide to Self-Insurance in Washington State


Publication
F207-079-000
 
Employers' Guide to Workers' Compensation Insurance in Washington State


Publication
F101-002-000

World Language(s):
Español
 
Evaluando su capacidad para trabajar: sus derechos y responsabilidades, servicios de rehabilitación vocacional


Publication
F280-017-999

World Language(s):
Inglés
 
Guía de beneficios de Compensación para los Trabajadores: para los empleados de empresas autoaseguradas


Publication
F207-085-999

World Language(s):
Inglés
 
Guía del Empleador para el Seguro de compensación para trabajadores en el Estado de Washington


Publication
F101-002-999

World Language(s):
Inglés
 
Guía para el contratista independiente - Una guía detallada para contratar contratistas independientes en el estado de Washington


Publication
F101-063-999

World Language(s):
Inglés
 
Independent Contractor Guide: A Step-by-Step Guide to Hiring Independent Contractors in Washington State


Publication
F101-063-000

World Language(s):
Español
 
Injured by a third party?  


Form
F249-008-000

World Language(s):
Español
 
Injured by a third party?  


Publication
F249-008-000

World Language(s):
Español
 
Injured Workers: Leaving Washington, But Still Need Treatment


Publication
F242-412-909
 
Instructions for completing the Workers' Compensation Employer's Quarterly Report


Form
F212-239-000
 
Irrevocable Standby Letter of Credit


Form
F207-112-000
 
L&I Benefits for Workers Who Are Terminally Ill


Publication
F252-094-000
 
Maritime Coverage


Form
F212-034-000
 
Maritime Coverage


Publication
F212-034-000
 
Massage Therapist: Independent Contractor or Covered Worker?


Publication
F212-248-000
 
Mechanized Logging Supplemental Quarterly Report


Form
F212-223-000
 
Memorandum of Understanding Irrevocable Standby Letter of Credit


Form
F207-113-000
 
Notificación de decisión de cierre con discapacidad parcial permanente para empleadores autoasegurados - DISCAPACIDAD PARCIAL PERMANENTE (PPD) - SIN TIEMPO PERDIDO (NTL)


Form
F207-165-999

World Language(s):
Inglés
 
Notificación de decisión de cierre con discapacidad parcial permanente para empleadores autoasegurados -DISCAPACIDAD PARCIAL PERMANENTE (PPD) - CON TIEMPO PERDIDO (NTL)


Form
F207-164-999

World Language(s):
Inglés
 
Notificación de decisión de cierre para reclamos únicamente médicos para empleadores autoasegurados


Form
F207-020-999

World Language(s):
Inglés
 
Notificación de decisión de cierre para reclamos de tiempo perdido para empleadores autoasegurados


Form
F207-070-999

World Language(s):
Inglés
 
Overpayment Reimbursement Fund Request Coversheet


Form
F207-212-000
 
Quarterly Reporting for Drywall


Form
F212-224-000

World Language(s):
Español
 
Reforestation Contract Supplemental Report - Forest, Range and Timber Industry


Form
F213-013-000
 
Reforestation Industry Continuation Sheet (Over $10,000)


Form
F213-015-000
 
Self-Insured Employer Certificate of Excess Insurance


Form
F207-095-000
 
Self-Insured Employers' Medical Only Claim Closure Order and Notice


Form
F207-020-111

World Language(s):
Español
 
Self-Insured Employers' Permanent Partial Disability Closure Order and Notice - PPD-NTL


Form
F207-165-000

World Language(s):
Español
 
Self-Insured Employers' Permanent Partial Disability Closure Order and Notice - PPD-TL


Form
F207-164-000

World Language(s):
Español
 
Settling your L&I claim might be right for you: An option for injured workers 50 or older


Publication
F240-003-000

World Language(s):
Español
 
SIF-5A Cover Sheet: Wage Calculations


Form
F207-156-000
 
Sports Player Coverage Agreement


Form
F212-242-000
 
Sports Teams Coverage Agreement


Form
F212-196-000
 
Statement for Home Nursing Services


Form
F248-160-000
 
Statement for Pharmacy Services


Form
F245-100-000
 
Student Volunteers and Workers' Compensation Coverage


Publication
F213-023-000
 
Su examen médico independiente


Form
F245-224-999

World Language(s):
Inglés
 
Su examen médico independiente


Publication
F245-224-999

World Language(s):
Inglés
 
Supplemental Quarterly Report for the Drywall Industry


Form
F212-051-000
 
Tarjeta para transferencia de caso


Form
F245-037-999

World Language(s):
Inglés
 
Temporary Services Guide to Workers' Compensation Insurance


Manual
F213-019-000
 
Transfer of Care Card


Form
F245-037-000

World Language(s):
Español
 
Tres cosas que debe conocer sobre la Red de proveedores médicos de L&I


Publication
F242-406-999

World Language(s):
Inglés
 
What Are Your Rights as a Worker? / ¿Cuáles son sus derechos como trabajador? (English/español)


Publication
F101-061-909

World Language(s):
English/កម្ពុជា
English/한국의
English/русский
English/Vi?t
 
Workers' Compensation Benefits: A Guide for Injured Workers


Publication
F242-104-000

World Language(s):
Español
 
Workers' Compensation Employer's Quarterly Report


Form
F212-055-000
 
Workers' Compensation Requirements for the Marijuana Industry


Publication
F242-415-000
 
Your Independent Medical Exam


Form
F245-224-000

World Language(s):
Español
 
Your Independent Medical Exam


Publication
F245-224-000

World Language(s):
Español
 
Your Workers' Compensation Rate Notice - SAMPLE ONLY


Form
F225-004-000
 
Assessing Your Ability to Work: Your Rights and Responsibilities


Publication
F280-017-000

World Language(s):
Español
 
Carrying Out Your Vocational Plan: Your Rights and Responsibilities During Plan Implementation


Publication
F280-019-000

World Language(s):
Español
 
Corporate Officers


Publication
F214-010-000
 
Employer's Return-to-Work Guide


Publication
F200-003-000
 
Excluded and Exempt Employments


Publication
F214-013-000
 
Intent to Hire Preferred Worker


Form
F280-010-000
 
Limited Liability Companies (LLC)


Publication
F214-021-000
 
Plan Development: What Are My Rights & Responsibilities?


Publication
F280-018-000

World Language(s):
Español
 
Self-Insurer's Bond - Existing Liabilities


Form
F207-068-000
 
Standard Exception Classification


Publication
F214-016-000
 
What Are Your Rights as a Worker? (English/Cambodian)


Publication
F101-061-606

World Language(s):
English/한국의
English/русский
English/Español
English/Vi?t
 
What Are Your Rights as a Worker? (English/Korean)


Publication
F101-061-707

World Language(s):
English/កម្ពុជា
English/русский
English/Español
English/Vi?t
 
What Are Your Rights as a Worker? (English/Russian)


Publication
F101-061-404

World Language(s):
English/កម្ពុជា
English/한국의
English/Español
English/Vi?t
 
What Are Your Rights as a Worker? (English/Vietnamese)


Publication
F101-061-505

World Language(s):
English/កម្ពុជា
English/한국의
English/русский
English/Español
 
When a Loved One Dies at Work


Publication
F417-240-000

World Language(s):
Español
 





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