Inquiry for Assessment of Damages

Document Information
  Get help downloading & printing files.   How to complete a fillable form.
Title Inquiry for Assessment of Damages (A fillable form - 120 KB PDF)
Description Your answers to these questions will be used to assist in evaluating your damages if a claim is made against a liable third party.
Detail
Form number F242-067-000
Availability
Order it
Keywords assessments, third party
Languages English
Valid dates 02-2007
Contact information Third Party Claim Cost Recovery

End of main content, page footer follows.

Access Washington official state portal

© Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.