Washington State Department of Labor and Industries Forms

This form is used by the parent, legal guardian, or custodian of minor victims in Washington to request compensation for wage loss incurred as a result of the incident.

This form is used for applying for a Master Level Counselor Provider Account in Washington. It is the application for individuals who wish to provide counseling services at the master's level in the state.

This form is used for Washington state manufactured home installers to report their monthly certification tag activity.

This form is used for requesting the transfer of the Manufactured Home Installer Certification Tag in Washington.

This form is used for the Annual Vocational Firm Agreement in the state of Washington. It is a required form for vocational firms to renew their agreement with the state.

This form is used for asbestos supervisors in the state of Washington to declare their experience and qualifications in handling asbestos-related work.

This Form is used for providers in Washington to enter into an agreement with a specific organization or entity. It outlines the terms and conditions of the provider's services and responsibilities.

This form is used for medical providers in Washington to complete the credentialing checklist for the L&I Medical Provider Network.

This Form is used for adding a group to the network of healthcare providers in Washington and obtaining account and credentialing information.