Form F242-071-000 Occupational Disease Work History - Washington

Form F242-071-000 Occupational Disease Work History - Washington

What Is Form F242-071-000?

This is a legal form that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F242-071-000?
A: Form F242-071-000 is the Occupational Disease Work History form used in Washington State.

Q: What is the purpose of Form F242-071-000?
A: The purpose of Form F242-071-000 is to provide a detailed work history for individuals filing a claim for occupational disease benefits in Washington State.

Q: Who needs to fill out Form F242-071-000?
A: Form F242-071-000 needs to be filled out by individuals who are filing a claim for occupational disease benefits in Washington State.

Q: Is Form F242-071-000 specific to Washington State?
A: Yes, Form F242-071-000 is specific to Washington State and is used for filing occupational disease claims in that state.

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Form Details:

  • Released on October 1, 2005;
  • The latest edition provided by the Washington State Department of Labor and Industries;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form F242-071-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

Download Form F242-071-000 Occupational Disease Work History - Washington

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