Claim Suppression Complaint

Claim Suppression Complaint - (Forms/Publications)
Document Information
  Get help downloading & printing files.   How to complete a fillable form.
Title Claim Suppression Complaint (A fillable form - 181 KB PDF)

An injured worker may submit this form if their employer has suppressed their right to file an injury claim.

Form number F262-024-000
Online only. See document above to download.
Keywords claim information, discrimination, suppression
Languages English , Spanish
Valid dates 02-2008
Contact information

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.