Washington State Department of Labor and Industries Forms

This document is used to provide a statement by a crime victim in Washington for miscellaneous services.

This form is used for Somali-speaking crime victims in Washington to apply for benefits for their injury claims.

This form is used for the Cvcp Treatment Report in Washington state.

This form is used for the initial response and assessment of a Cvcp (Criminal Victim Compensation Program) case in Washington. It is necessary to fill out this form to begin the process of seeking compensation for victims of crime in the state.

This form is used for requesting survivor counseling benefits in Washington. It is available in English and Spanish.

This document is used for requesting subacute opioid medication in the state of Washington.

This form is used for requesting travel and wage reimbursement for an Independent Medical Exam (IME) in Washington.

This form is used for reporting progress on opioid treatment for chronic, non-cancer pain patients in Washington. It helps track the effectiveness and safety of opioid medications for pain management.

This Form is used for filing an application for benefits related to homicide claims for crime victims in Washington.

This Form is used for applying to reopen a crime victim's claim in Washington due to a worsening of condition. It is available in both English and Korean.

This Form is used for Vietnamese speakers in Washington to apply for benefits as a crime victim in cases of homicide.

This Form is used for submitting a Cvcp Treatment Report in Washington.

This form is used for submitting a statement for crime victim mental health services in the state of Washington. It is important for victims to provide their statement to access the necessary mental health support.

This form is used for declaring entitlement for dependent benefits of a deceased worker under industrial insurance in the state of Washington.

This document is an application form used in Washington for employers who want to hire student, learner, or apprentice workers at a subminimum wage.

This Form is used for authorizing payment methods in the state of Washington.

This document is a Memorandum of Understanding Irrevocable Standby Letter of Credit specific to the state of Washington. It outlines the terms and conditions related to a financial agreement between two parties.

This form is used for acknowledging a security interest in Washington.

This form is used for requesting reimbursement for travel and wage expenses related to an Independent Medical Exam (IME) in the state of Washington. It is available in Korean language.

This form is used for calculating and reporting the income and expenses associated with a structured settlement in the state of Washington. It is available in Cambodian language.

This document captures important information through written statements in the Amharic language for individuals residing in Washington.

This form is used for submitting a statement of facts in Washington state, but it is in Korean language.

This document is used for submitting a statement of facts in Punjabi language for residents in Washington.

This form is used for providing a statement of fact in Washington state. It is available in the Telugu language.

This form is used for submitting a cover sheet for completed resume services in the state of Washington.

This document is a form used for transferring care in Washington state. It is available in the Korean language.

This form is used for submitting statements for pharmacy services in the state of Washington, specifically for Korean speakers.

This Form is used for requesting travel and wage reimbursement for an Independent Medical Exam (IME) in Washington for individuals of Cambodian descent.

This form is used for filing a discrimination complaint in Washington state in the Chinese Simplified language.

This Form is used for applying for a variance for elevator installation in Washington state.

This document is for conducting pre-inspections on copper tubing gas lines in Washington. It provides a checklist of items to be reviewed before installation or repair work can begin.