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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
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Employees may also file a claim form online at 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.
To obtain workers' compensation coverage through the Washington State Fund, you must open an account by completing and returning a Business License Application. This form is available online at .dor.wa.gov or from offices of the Department of Revenue or Labor & Industries.
If the proposed rate increase is adopted, the average rate per $100 of payroll in 2023 will be $1.42, about what it was in 2020. Workers will continue to pay on average about a quarter of the premium, a similar percentage to that paid in 2022. How financially stable are Washington's workers' comp trust funds?
Washington is one of four monopolistic states requiring employers to buy workers' compensation coverage through a state fund for workers rather than a private insurance company. Small business owners need to file a business license application with the Washington State Department of Revenue.
In Washington State, L&I or your self-insured employer must receive your Report of Accident within 1 year of your injury date to file a claim. Occupational illness claims must be received within two years from the date that your doctor notifies you in writing that your injury is work-related.
L&I strives to make filing a claim as easy as possible, and you have options: Online via our FileFast tool. By phone: 1-877-561-FILE (3453) At your doctor's office (if you complete the Report of Accident at your doctor's office, the doctor files the form for you)
The statute of limitations for filing workers' compensation in Washington State is one year from the date of the injury.
How Does Workers' Comp Work in Washington State? If one of your employees is injured or becomes ill from their job, Washington workers' compensation can help pay for their medical bills and prescriptions. It can also help recover some of their lost wages if they're unable to return to work right away.