Get Wa F270-001-000 2019

Filling out the WA F270-001-000 form is a straightforward process aimed at assisting individuals who believe they have experienced discrimination. This guide provides detailed, step-by-step instructions to help you complete the form accurately and effectively.

Follow the steps to successfully complete the WA F270-001-000 online.

1. Click the ‘Get Form’ button to access the WA F270-001-000 form and open it in your preferred online document editing tool.
2. Begin by providing your contact information. Fill in your first name, last name, address, city, state, zip code, country, email address, and phone number. You are also allowed to include a phone number for a family member or friend.
3. Indicate your language preference by checking the appropriate box next to the listed options, including English and various other languages. If your language is not listed, write it in the provided space.
4. Choose the type of complaint you are filing by checking the relevant boxes for language access and/or discrimination based on race, national origin, or color.
5. In the next section, specify who your complaint is about by checking either 'L&I employee,' 'medical (healthcare) provider,' or 'other.' If you selected 'other,' provide an explanation.
6. Describe the details of your complaint, ensuring you provide as much information as possible. If you need more space, attach additional pages and include your name on each page.
7. Record the date when the incident occurred using the month/day/year format.
8. Indicate if you have previously filed a complaint about this issue by selecting 'Yes' or 'No.' If yes, specify with whom you filed the complaint.
9. Sign and date the form in the designated fields to confirm the accuracy of the information provided.
10. Once you have filled out the form completely, you will have the option to save changes, download, print, or share the completed form as needed.

Take action today by completing your WA F270-001-000 form online.