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Application for out of State Supplemental Reporting


Formulario
F212-234-000
 
Instructions for completing the Workers' Compensation Employer's Quarterly Report


Formulario
F212-239-000
 
QuickFile: Workers' Compensation Quarterly Report Filing Made Easy!


Publicación
F212-244-000
 
Monthly Supplemental Report for Manual Logging


Formulario
F212-246-000
 
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
 
Reforestation Contract Supplemental Report - Forest, Range and Timber Industry


Formulario
F213-013-000
 
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
 
Record Keeping


Publicación
F214-011-000
 
Computing Worker Hours


Publicación
F214-014-000
 
Audit Reference Card


Publicación
F214-020-000
 
Group vs. Individual Retrospective Rating Participation


Publicación
F225-016-000
 
Retrospective Rating Enrollment Decisions


Publicación
F225-017-000
 
Keys to Retro Success


Publicación
F225-018-000
 
Evaluating Retro Groups


Publicación
F225-019-000
 
Settling your injured worker's L&I claim: A new option for injured workers 50 and older


Publicación
F240-004-000
 
Work Status Form (formerly Worker Verification Form)


Formulario
F242-052-000

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
 
FileFast postcard handout for workers


Publicación
F242-398-000
 
FileFast poster for workers


Cartel
F242-399-000
 
3 Things to Know about L&I's Medical Provider Network


Publicación
F242-406-000

Otro(s) idioma(s):
Español
 
International Travel for Work


Publicación
F242-419-000
 
Stay at Work Wage Reimbursement Application for Employers


Formulario
F243-001-000
 
Stay at Work Expense Reimbursement Application for Employers Tools, Clothing, Training.


Formulario
F243-003-000
 
Complete Stay at Work Guide for Employers, The


Publicación
F243-005-000
 
Stay at Work: A new program to help employers keep injured workers on the job--pays half the wage plus expenses


Publicación
F243-006-000

Otro(s) idioma(s):
Español
 
Interpretive Services Appointment Record (ISAR)


Formulario
F245-056-000
 
Frequently Asked Questions about Job Modifications


Publicación
F245-057-000
 
Job Modification Assistance Application


Formulario
F245-346-000

Otro(s) idioma(s):
Español
 
Provider Network Agreement


Formulario
F245-397-000
 
Quick Reference Card for Providers


Publicación
F245-414-000
 
Individual Retrospective Rating Plan Agreement


Formulario
F250-003-000
 
Is Retrospective Rating Right for You?


Publicación
F250-006-000
 
Application for Group Membership & Authorization for Release of Insurance Data


Formulario
F250-016-000
 
Retrospective Rating Adjustment Protest


Formulario
F250-024-000
 
Facts about Medical Gas Piping Installer Endorsement


Publicación
F627-026-000
 
Business and Industry Category Guide


Manual
F250-025-000
 
Protesting Retro Adjustments


Publicación
F250-027-000
 
Employer's Job Description


Formulario
F252-040-000
 





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