Washington State Department of Labor and Industries Forms

This document is used for declaring entitlement to benefits for workers who are totally disabled under industrial insurance in Washington.

This document is for Croatian workers in Washington who are totally disabled and are seeking benefits under industrial insurance. It is a declaration form that needs to be filled out to claim these benefits.

This form is used for legal representation notification in the state of Washington. It is necessary to inform the relevant parties about the legal representation in a legal matter.

This document is for notifying authorized legal representation in Washington. It is specifically provided in Somali language.

This form is used for requesting claim information in the state of Washington.

This document is used for transferring care in the state of Washington for individuals who speak Chuukese.

This form is used for filling out an Indoor Air Quality Questionnaire specific to Washington state. It helps gather information about the air quality indoors to assess potential health risks.

This form is used for transferring care in Washington state, specifically for individuals who speak Farsi.

This form is used for providing a statement for compound prescription in the state of Washington. It is required for compounds that are custom-made medications.

Este formulario se utiliza para recopilar información sobre la calidad del aire en interiores en el estado de Washington. El cuestionario ayuda a evaluar la salud y seguridad de los espacios cerrados y a identificar posibles problemas de contaminación del aire.

This form is used for transferring the care of an individual in Washington state.

This form is used for transferring care in the state of Washington. It is available in the Tagalog language.

This Form is used for transferring care in the state of Washington. It is available in Somali language.

This form is used for receiving a notification about refunding money to the Department of Labor and Industries (L&i) in order to correct your account in the state of Washington.

This document is used to apply for discretionary disability benefits "over 7/10" in Washington.

This Form is used for requesting discretionary over 7/10 disability benefits in the state of Washington.

This form is used for terminating an agreement in Washington state.

This Form is used for transferring care in the state of Washington. It is available in Vietnamese.