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  • Wa F262-024-000 2017

Get Wa F262-024-000 2017-2025

Workers Compensation Claims Suppression Complaint Form Investigations PO Box 44277 Olympia WA 985044277Questions? Call 18663243310 or 3609029155 Email: CSIIIDComplaints Lni.wa.govCase Number (Dept.

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If you are injured at work, or have a work-related illness: Immediately report any work-related injury to your supervisor. If you require emergency medical treatment, obtain care first, and then notify your supervisor as soon as possible after receiving treatment.

Right to get medical care needed for treatment at no cost. Right to get time loss benefit payment if unable to work for more than 3 days. Right to turn down (decline) “light duty” work offer unless approved by your doctor. Right to get a permanent partial disability payment if your injury is permanent.

The OSHA Poster states: All workers have the right to: Raise a safety or health concern with your employer or OSHA, or report a work-related injury or illness, without being retaliated against.

What percent of the premiums do workers pay? Workers pay on average about 25% of the premium, a similar percentage to that paid in 2022. Washington is the only state where workers pay a significant portion of the premium.

Laid Off With an Open L&I Claim You can be laid off even while you have an open L&I claim. An employer can lay you off or fire you for any good reason, or no reason at all.

L&I maintains a list of self-insured employers. Your employer or their representative handles your paperwork and pays for the claim. They will give you a Self‑Insurer Accident Report (SIF‑2) form. Fill out the form completely and return it to your employer or their representative.

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.

Workers' compensation pays for medical care for work-related injuries or illnesses. If your worker is unable to work after their injury, they may also be eligible for a portion of their lost wages. Most importantly, we can help you coordinate a safe and timely return to work for your worker.

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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
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