Schedule of Future Payments for the Balance of the Permanent Partial Disability Award

Schedule of Future Payments for the Balance of the Permanent Partial Disability Award - (Forms/Publications)
Document Information
  Get help downloading & printing files.   How to complete a fillable form.
Title Schedule of Future Payments for the Balance of the Permanent Partial Disability Award (60 KB DOC)
Description

Schedule of Future Payments for the Balance of the Permanent Partial Disability Award.

Detail
Form number F207-162-000
Availability
Online only. See document above to download.
Keywords self insurance, self insurer, self-insured, self-insurer
Languages English
Valid dates 09-2013
Contact information Self-Insurance

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.