Coverage Agreement
See also
| Document Information | ||
|---|---|---|
 Get help downloading & printing files.  How to complete a fillable form. |
||
| Title |
 Coverage Agreement (92 KB PDF)
|
|
| Description | An agreement between a worker and employer which states the worker's employment is principally localized in Washington state or another state. | |
| Detail | ||
| Form number | F212-044-000 | |
| Availability | Online only. See document above to download. |
|
| Keywords | employee, employment, industrial insurance, insurance coverage, worker's compensation, workers compensation, workers' compensation | |
| Languages | English | |
| Valid dates | 06-2006 | |
| Contact information | Employer Services - 360-902-4817
|
|
| Web pages | Insurance for Business | |
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