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.
Download a printable version of Form F622-021-111 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.
Pressing the PRINT button will only print the current page. Download the document to your desktop, tablet or smartphone to be able to print it out in full.