Washington State Department of Labor and Industries Forms

This Form is used for changing the provider account outside the country in Washington. (Spanish)

This Form is used for making changes to a healthcare provider's account when they are located outside of the United States.

This document is a closing report used in Washington for the Stand Alone Job Analysis (SAJA) Referral process.

This Form is used for authorizing a third party to act on behalf of a self-insured employer in Washington state.

This form is used for filing a discrimination complaint related to industrial insurance in Washington. It is available in Chinese Simplified.

This document is a Sport Player Coverage Agreement specific to Washington. It outlines the terms and conditions for coverage of sport players.

This Form is used for verification of victims in the state of Washington.

This Form is used for reporting vocational services provided under a self-insurance plan in the state of Washington.

This Form is used for updating apprentice or program information in the state of Washington.

This Form is used for requesting approval of proposed standards in Washington.

This form is used for determining the journey level wage rate in the state of Washington. It helps employers and employees determine the appropriate wage for certain skilled trades.

This form is used for filing a complaint related to apprenticeships in Washington. It is not meant for apprentice appeals.

This document is used to request a suspension in the state of Washington.

This document is used for submitting a coversheet for a pension review in the state of Washington.

This document is used in Washington for the parties involved to agree on the terms and conditions for closing a claim.

This document provides a checklist and reporting requirements for willful misrepresentation in the state of Washington. It outlines the steps and guidelines to report instances of intentional false representation.

This form is used for obtaining a temporary elevator mechanic license in the state of Washington.