Form F242-079-255 Application to Reopen Claim Due to Worsening of Condition - Washington (English / Korean)

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Form F242-079-255 Application to Reopen Claim Due to Worsening of Condition - Washington (English / Korean)

What Is Form F242-079-255?

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 F242-079-255?
A: Form F242-079-255 is an application to reopen a claim due to worsening of condition in Washington.

Q: What does this form allow you to do?
A: This form allows you to request to reopen a claim if your condition has worsened.

Q: Who can use this form?
A: This form is for individuals in Washington who have a workers' compensation claim and their condition has worsened.

Q: What is the purpose of reopening a claim?
A: The purpose of reopening a claim is to seek additional benefits or medical treatment due to worsening of your condition.

Q: Is this form available in multiple languages?
A: Yes, this form is available in English and Korean.

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Form Details:

  • Released on March 1, 2014;
  • The latest edition provided by the Washington State Department of Labor and Industries;
  • Easy to use and ready to print;
  • Available in Korean;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form F242-079-255 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

Download Form F242-079-255 Application to Reopen Claim Due to Worsening of Condition - Washington (English / Korean)

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