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Workers Compensation Claim Form Insert insurer logo Workers tear off and keep this section for your information Who can make a claim? You are entitled to make a claim if you sustain an injury in the.

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How does workers' comp work in Washington? Workers' compensation benefits can cover medical and hospital expenses resulting from a workplace injury. It can also cover partial wage replacement if the employee is unable to work, or is delegated to light duty because of an impairment.

If you wish to lodge a workers' compensation claim, or if you need further information about workers' compensation, please visit Workcover WA website or phone 1300 794 744 or contact our switchboard on 61 8 9388 5555.

Report job-related injury or illness in writing to the Office of Workers' Compensation within 30 days of occurrence or awareness. Complete the DCWC Form 7. The form can be obtained from the employer, insurance carrier, or Office of Workers' Compensation.

Workers' Compensation Insurance in Washington State Workers' compensation insurance, also known as workman's comp or workers' comp, gives your employees benefits that can help them recover from a work-related injury or illness. Washington workers' compensation coverage is only available through the state fund.

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.

While state workers' compensation insurance is recommended for all businesses, there are a few exceptions to the state law: Independent contractors, sole proprietors or limited liability company (LLCs) One domestic worker in a private home with less than 40 hours per week of labor.

Independent Contractors. All workers in Washington are entitled to workers' compensation unless they fit strict exemption definitions. Make sure you understand your business' requirements for covering workers, including independent contractors.

Employers purchase coverage through the Department of Labor & Industries (L&I). L&I manages all claims and pays benefits out of an insurance pool called the Washington State Fund. The fund is financed by premiums paid by employers and employees, not by general revenue taxes.

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© Copyright 1997-2025
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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
DMCA Policy
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:
1-877-389-0141
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