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  • Third Party Election Form - City Of Seattle - Seattle

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THIRD PARTY ELECTION FORM Please complete this form and return within 60 days to: City of Seattle, Workers' Compensation Unit P. O. Box34028 Seattle, WA 98124-4028 Please read the instructions enclosed.

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Contact support

File a claim online with FileFast (24-hours per day). Workers can also file by phone at 1-877-561-FILE (3453) Monday – Friday, 8 a.m. – 5 p.m.

What is a third-party claim? If someone other than an employee's co-worker or employer caused their workplace injury or illness, they may take legal action against this “third party.” The purpose of third-party law is to shift the cost of industrial insurance onto the responsible party.

Employees may also file a claim form online at http://.lni.wa.gov/ORLI/ECS/FileFast.asp or by phone at 1-877-561-FILE (3453). Workers' compensation claims must be filed within one year of an injury, and within two years of being notified that an illness is work-related.

Washington is a no-fault state, so L&I will cover an allowable claim for a workplace injury regardless of who is at fault. This rule also applies to self‑insured employers.

City of Seattle Initiative Measure 135 concerns developing and maintaining affordable social housing in Seattle. This measure would create a public development authority (PDA) to develop, own, and maintain publicly financed mixed-income social housing developments. The City would provide start-up support for the PDA.

Workers' compensation (industrial insurance) coverage protects both workers and employers from the financial impact of a work-related injury or occupational disease. It pays for an injured worker's approved medical, hospital and related services that are essential to their treatment and recovery.

If you're completely unable to work, time-loss benefits are based on your average monthly gross income at the time of your injury, including wages, health benefits, bonuses, and tips. You'll receive 60% to 75% of that income, depending on your marital status and number of dependents.

How do I get a claim form to file against the City of Seattle? You can print a claim form from the website , call 206-684-8213 to request a form be mailed to you, or pick up a claim form from the Office of the City Clerk at: 600 Fourth Ave., 3rd floor, Seattle.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232