PDF
Word
Form F242-208-220 Application for Loss of Earning Power (Lep) - Compensation Medical - Washington (English / Chinese Simplified)
What Is Form F242-208-220?
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 F242-208-220?A: Form F242-208-220 is the Application for Loss of Earning Power (LEP) - Compensation Medical form used in Washington for workers' compensation medical claims.
Q: What is Loss of Earning Power (LEP)?A: Loss of Earning Power (LEP) refers to the reduction in an individual's ability to earn income due to a work-related injury or illness.
Q: Who can use this form?A: This form can be used by injured workers in Washington who are seeking compensation for loss of earning power resulting from a work-related injury or illness.
Q: What is Compensation Medical?A: Compensation Medical refers to the medical benefits provided to injured workers to cover the costs of necessary medical treatment related to their work-related injury or illness.
Q: Is this form available in multiple languages?A: Yes, this form is available in both English and Simplified Chinese.
Form Details:
- Released on December 1, 2004;
- 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;
- Fill out the form in our online filing application.
Download a printable version of Form F242-208-220 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.
