Form F242-421-000 Declaration of Entitlement for Disabled Child or Guardian Benefits Under Industrial Insurance - Washington

Form F242-421-000 Declaration of Entitlement for Disabled Child or Guardian Benefits Under Industrial Insurance - Washington

What Is Form F242-421-000?

This is a legal form that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2019;
  • The latest edition provided by the Washington State Department of Labor and Industries;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form F242-421-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

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Download Form F242-421-000 Declaration of Entitlement for Disabled Child or Guardian Benefits Under Industrial Insurance - Washington

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  • Form F242-421-000 Declaration of Entitlement for Disabled Child or Guardian Benefits Under Industrial Insurance - Washington, Page 1
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