PDF
Word
Form F250-004-000 Application for Group Retrospective Rating - Washington
What Is Form F250-004-000?
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 F250-004-000?A: Form F250-004-000 is the Application for Group Retrospective Rating in Washington.
Q: What is Group Retrospective Rating?A: Group Retrospective Rating is a program that allows a group of employers to pool their workers' compensation premiums and claims experience.
Q: Who can use Form F250-004-000?A: Employers in Washington who are interested in participating in the Group Retrospective Rating program can use Form F250-004-000.
Q: What is the purpose of Form F250-004-000?A: The purpose of Form F250-004-000 is to apply for participation in the Group Retrospective Rating program in Washington.
Q: Are there any fees associated with Form F250-004-000?A: Yes, there are fees associated with the Group Retrospective Rating program, and more information about the fees can be found on the application form.
Q: What information do I need to provide on Form F250-004-000?A: Form F250-004-000 requires information about the participating employers, their workers' compensation claims experience, and other relevant details.
Q: Is Form F250-004-000 only for large employers?A: No, Form F250-004-000 can be used by employers of all sizes who are interested in participating in the Group Retrospective Rating program.
Q: What are the benefits of participating in Group Retrospective Rating?A: Participating in Group Retrospective Rating can potentially result in cost savings on workers' compensation premiums for the employers.
Q: Is participation in Group Retrospective Rating guaranteed?A: No, participation in Group Retrospective Rating is not guaranteed, and the application will be reviewed by the Department of Labor & Industries to determine eligibility.
Form Details:
- Released on August 1, 2017;
- 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 fillable version of Form F250-004-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.
