Online Consultation Request

Labor & Industries can provide your company with no-charge safety & health or risk management consultation. Complete the following form to get assistance from L&I.

*Contact Name:

Job Title:

Company/Business Name:

Address:

City:

State:

Zip:

*County:

*Phone Number:

*Contact Email:

UBI or L&I Account Number

Number of Employees (Entire company)

Type of Work:

*What can we help you with?

Specific Needs (Check all that apply):

  • Help With Written Programs
  • Rates and Claims
  • Training
  • Onsite Evaluation

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