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Construction Industry Classification Guide


Publicación
F213-008-000
 
Temporary Services Guide to Workers' Compensation Insurance


Manual
F213-019-000
 
Corporate Officers


Publicación
F214-010-000
 
Independent Contractors


Publicación
F214-012-000
 
Standard Exception Classification


Publicación
F214-016-000
 
Limited Liability Companies (LLC)


Publicación
F214-021-000
 
Workers' Compensation Benefits: A Guide for Injured Workers


Publicación
F242-104-000

Otro(s) idioma(s):
Español
 
Notice to Employees -- If a Job Injury Occurs/Aviso a los empleados--si ocurre una lesión en el trabajo (English/español)


Cartel
F242-191-909
 
Application for Group Membership & Authorization for Release of Insurance Data


Formulario
F250-016-000
 
Application for Limited Elective Coverage for Licensed Pony Riders


Formulario
F250-026-000
 
Quick Tips for Lifting / Consejos rápidos para levantar objetos (English/español)


Publicación
F417-055-909
 
Reassignment of Savings Account or Time Deposit - Construction Contractors


Formulario
F625-011-000
 
Assignment of Account or Time Deposit for Insurance - Bodily Injury - WA State Banks Only


Formulario
F625-082-000
 
Assignment of Account or Time Deposit for Insurance - Property Damage - WA State Banks Only


Formulario
F625-083-000
 
Application for Agent On-Line Insurance Entry Account


Formulario
F625-110-000
 
Construction Contractors - Steps for Success


Publicación
F625-115-000

Otro(s) idioma(s):
Español
 
Employers' Guide to Workers' Compensation Insurance in Washington State


Publicación
F101-002-000

Otro(s) idioma(s):
Español
 
Authorization to Release Claim Information


Formulario
F101-010-000

Otro(s) idioma(s):
Español
 
Request for Claim Information


Formulario
F101-010-111
 
Autorización para proveer información de reclamos


Formulario
F101-010-999

Otro(s) idioma(s):
Inglés
 
Application for Self-Insurance Certification


Formulario
F207-001-000
 
Self-Insurance Report of Occupational Injury or Disease (SIF-5)


Formulario
F207-005-000
 
Quarterly Report for Self-Insured Business


Formulario
F207-006-000
 
Quarterly Statement of Supplemental Benefits Paid for Self-Insured Employers


Formulario
F207-011-000
 
Special Escrow Agreement


Formulario
F207-039-000
 
Agreement of Assumption and Guarantee of Workers' Compensation Liabilities - Application of Certification


Formulario
F207-040-000
 
Agreement of Assumption and Guarantee of Workers' Compensation Liabilities (Certified Self-Insurer)


Formulario
F207-040-001
 
Assignment of Account Agreement


Formulario
F207-058-000
 
Self-Insurer's Pension Bond


Formulario
F207-065-000
 
Self-Insurer's Bond - Existing Liabilities


Formulario
F207-068-000
 
Self-Insured Employers' Time Loss Claim Closure Order and Notice


Formulario
F207-070-000

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


Publicación
F207-085-000

Otro(s) idioma(s):
Español
 
Self-Insured Employer Certificate of Excess Insurance


Formulario
F207-095-000
 
Irrevocable Standby Letter of Credit


Formulario
F207-112-000
 
Amendment of Irrevocable Standby Letter of Credit


Formulario
F207-112-111
 
Memorandum of Understanding Irrevocable Standby Letter of Credit


Formulario
F207-113-000
 
Pension Bond Rider


Formulario
F207-120-000
 
Annual Supplemental Surety Information


Formulario
F207-125-000
 
Memorandum of Understanding


Formulario
F207-129-000
 
Surety Rider


Formulario
F207-134-000
 
Special Escrow Account - Amendment Agreement


Formulario
F207-137-000
 
Acknowledgement of Security Interest


Formulario
F207-143-000
 
Workers' Compensation Filing Information


Formulario
F207-155-000

Otro(s) idioma(s):
Español
 
Cómo Registrar un Reclamo para la Compensación del Trabajador con Empresas Autoaseguradas


Formulario
F207-155-999

Otro(s) idioma(s):
Inglés
 
SIF-5A Cover Sheet: Wage Calculations


Formulario
F207-156-000
 
Self-Insured Employers' Permanent Partial Disability Closure Order and Notice - PPD-TL


Formulario
F207-164-000

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


Formulario
F207-165-000

Otro(s) idioma(s):
Español
 
Self-Insurance Vocational Services Closing Cover Sheet


Formulario
F207-171-000
 
Certificate of Coverage - SAMPLE ONLY


Formulario
F211-141-000

Otro(s) idioma(s):
Español
 
Certificado de cobertura - ejemplo


Formulario
F211-141-999

Otro(s) idioma(s):
Inglés
 
Maritime Coverage


Formulario
F212-034-000
 
Coverage Agreement


Formulario
F212-044-000
 
Drywall Industry - Owner/Sub-Contractor Report


Formulario
F212-050-000
 
Supplemental Quarterly Report for the Drywall Industry


Formulario
F212-051-000
 
Workers' Compensation Employer's Quarterly Report


Formulario
F212-055-000
 
Sports Teams Coverage Agreement


Formulario
F212-196-000
 
Mechanized Logging Supplemental Quarterly Report


Formulario
F212-223-000
 
Cancellation of Elective Coverage - Sole Proprietors/Partner, Member of Limited Liability Company (LLC), Member of Limited Liability Partnership (LLP) or For-Profit Corporate Officers


Formulario
F213-004-000
 
Cancellation of Elective Coverage for Excluded Employments


Formulario
F213-005-000
 
Contract: Report By Landowner - Forest, Range & Timber Industry


Formulario
F213-010-000
 
Contract: Report By Contractor - Forest, Range & Timber Industry


Formulario
F213-011-000
 
Reforestation Contract Supplemental Report - Forest, Range and Timber Industry


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


Formulario
F213-015-000
 
Student Volunteers and Workers' Compensation Coverage


Publicación
F213-023-000
 
Application for Elective Coverage - Sole Proprietor, Partners, For-Profit Corporate Officers, or Member/Managers of Limited Liability Company (LLC)


Formulario
F213-042-000
 
Application for Elective Coverage of Excluded Employments


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


Formulario
F213-113-000
 
Record Keeping


Publicación
F214-011-000
 
Excluded and Exempt Employments


Publicación
F214-013-000
 
Computing Worker Hours


Publicación
F214-014-000
 
Audit Reference Card


Publicación
F214-020-000
 
Drywall Contractors


Formulario
F214-024-000
 
Your Workers' Compensation Rate Notice - SAMPLE ONLY


Formulario
F225-004-000
 
Work Status Form (formerly Worker Verification Form)


Formulario
F242-052-000

Otro(s) idioma(s):
Español
 
Formulario de estado de empleo (Formulario de verificación de empleo)


Formulario
F242-052-999

Otro(s) idioma(s):
Inglés
 
Verification of School Enrollment


Formulario
F242-055-000

Otro(s) idioma(s):
Español
 
Checklist for IME Facilities


Formulario
F245-421-000
 
Claim for Pension by Spouse or Children


Formulario
F242-056-000

Otro(s) idioma(s):
Español
 
Safety Standards for WAC 296-59, Ski Area Facilities & Operations


Manual
F414-048-000
 
Reclamo para beneficios de pensión presentado por el cónyuge, pareja doméstica registrada o los hijos


Formulario
F242-056-999

Otro(s) idioma(s):
Inglés
 
Claim for Pension By Dependents


Formulario
F242-062-000

Otro(s) idioma(s):
Español
 
Safety Standards for WAC 296-832, Late Night Retail


Manual
F414-112-000
 
Reclamo para beneficios de pensión presentado por los dependientes


Formulario
F242-062-999

Otro(s) idioma(s):
Inglés
 
Faulty Water Heaters and Kids Don't Mix


Publicación
F620-059-000
 
Occupational Disease & Employment History


Formulario
F242-071-000

Otro(s) idioma(s):
Español
 
Continuación del Historial de Trabajo y de Enfermedad Ocupacional


Formulario
F242-071-911

Otro(s) idioma(s):
Inglés
 
Historial de trabajo (enfermedad ocupacional)


Formulario
F242-071-999

Otro(s) idioma(s):
Inglés
Español
 





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