Workers' Compensation Filing Information

Workers'' Compensation Filing Information - (Forms/Publications)
Document Information
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Title Workers'' Compensation Filing Information (A fillable form - 266 KB PDF)
Description

Used by only self-insured employers to comply with WAC 296-15-400. The form provides information and instructions to employees of self-insured employers in case of an injury or development of an occupational disease.

Detail
Form number F207-155-000
Availability
Online only. See document above to download.
Keywords espanol, industrial insurance, injured worker, injuries, instructions, required forms, self insurance, self insurer, self-insurance, self-insurer, spanish, worker's compensation, workers compensation
Languages English , Spanish
Valid dates 12-2012
Contact information Claims for Job Injuries
Self-Insurance
Web pages Self-Insured Employers
Insurance for Business

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