Washington State Department of Labor and Industries Forms

This form is used for providing a work history related to occupational diseases in Washington. It is specifically designed for Albanian speakers.

This Form is used for recording the work history related to occupational diseases in the state of Washington. It provides important information for evaluating and claiming compensation for work-related illnesses.

This document is used for verifying the work status of individuals in Washington State who speak Tigrinya. It was previously known as the Worker Verification Form.

This document is used for verifying the work status of Ukrainian workers in the state of Washington.

This form is used for recording the work history of individuals in Washington who have been diagnosed with an occupational disease. It is available in the Ilocano language.

This form is used for documenting the work history of individuals in Washington who have been affected by occupational diseases. It is available in Hungarian.

This form is used for documenting the work history of individuals in Washington who may have been affected by occupational diseases. It is specifically translated into the Hmong language.

This form is used for recording the work history of individuals in Washington who have been affected by a work-related occupational disease. It is specifically designed for Polish-speaking individuals.

This form is used for applying to reopen a claim in Washington due to a worsening of an existing condition. It is available in both English and Albanian languages.

This document is the F242-071-999 Work and Occupational Illness History Form for Washington residents. It is used to collect information about an individual's work history and any occupational illnesses they may have had.

This form is used for recording work history related to occupational diseases in the state of Washington specifically for Kurdish-speaking individuals.

This form is used for Washington pensioners to request a change of address for their pension benefits.

This form is used for applying to reopen a claim in Washington state due to a worsening of a medical condition. It is available in both English and Tagalog.

This form is used for applying to reopen a claim in the state of Washington due to a worsening of a medical condition. It is available in both English and Somali languages.

This Form is used for pensioners in Washington to request a change of address.

This form is used for recording employment history in Washington state. It is available in Chinese.

This Form is used for applying to reopen a claim in Washington due to the worsening of a medical condition.

This form is used to provide employment history information for individuals residing in Washington.

This form is used for recording work history related to occupational diseases specific to Washington state. It is available in Somali language.

This form is used for applying for compensation medical benefits for loss of earning power in Washington state. The form is available in both English and Bosnian languages.

This form is used for applying for compensation for loss of earning power due to a work-related injury in the state of Washington. It is available in both English and Arabic languages.

This form is used for applying for Loss of Earning Power (LEP) compensation due to medical reasons in Washington. The form is available in English and Croatian.

This form is used for applying for compensation for loss of earning power due to a work-related injury in Washington. It is available in both English and Chuukese languages.