How long can you collect L&I in Washington state?

You can apply to reopen a claim at any time, but after seven years, it is at L&I's Director's discretion whether or not benefits other than medical will be paid.

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Washington Address Change Request for Injured Workers

Washington Address Change Request for Injured Workers

Name: Washington Address Change Request for Injured Workers
Brand: US Legal Forms
Price: 59.00 USD
Rating: 4.88 (352 reviews)

Category:

Washington Workers Compensation - Official - Claims

State:

Washington

Control #:

WA-SKU-3061

Format:

Instant download

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Description

Address Change Request for Injured Workers Washington Address Change Request for Injured Workers is a form used by workers in Washington State to update their address information on file with the Washington State Department of Labor & Industries (L&I). This form is used when a worker has been injured on the job and needs to change the address where they receive their benefits. This form can also be used to update the address of a worker's authorized representative, such as a lawyer, doctor, or union representative. There are two types of Washington Address Change Request for Injured Workers. The first is the Notice of Change of Address form which is used when a worker needs to update their address on file with L&I. The second is the Authorization for Change of Address form which is used when a worker needs to update the address of their authorized representative. Both forms must be completed in full and submitted to the Washington State Department of Labor & Industries.

Washington Address Change Request for Injured Workers is a form used by workers in Washington State to update their address information on file with the Washington State Department of Labor & Industries (L&I). This form is used when a worker has been injured on the job and needs to change the address where they receive their benefits. This form can also be used to update the address of a worker's authorized representative, such as a lawyer, doctor, or union representative. There are two types of Washington Address Change Request for Injured Workers. The first is the Notice of Change of Address form which is used when a worker needs to update their address on file with L&I. The second is the Authorization for Change of Address form which is used when a worker needs to update the address of their authorized representative. Both forms must be completed in full and submitted to the Washington State Department of Labor & Industries.

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How to fill out Washington Address Change Request For Injured Workers?

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FAQ

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.

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.

Important: Employers by law must report to L&I the death or in-patient hospitalization of any worker (within 8 hours) and any non-hospitalized amputation or loss of eye (within 24 hours) due to an on-the-job injury by calling 1-800-423-7233.

Go to .Lni.wa.gov/Verify, select the option that applies to you, and search by name. To change your address online, just put in your information and make selections ingly. Update your mailing address, phone number, and email address. Repeat for each of your licenses and certificates.

Initial payment: At least 25% of the state's average monthly wage, but no more than 6 times the state's average monthly wage. Subsequent payments: At least 25% of the state's average monthly wage, but no more than 150% the state's average monthly wage.

After an injury or illness occurs, your employer must: Provide a workers' compensation claim form to you within one working day a work-related injury or illness is reported. Return a completed copy of the claim form to you within one working day of receipt.

You can apply to reopen a claim at any time, but after seven years, it is at L&I's Director's discretion whether or not benefits other than medical will be paid.

More info

IN EMPLOYMENT STATUS RESULTING FROM INJURY. C-11. Submit this form to BWC in one of the following ways.An employer may submit a request to change its address on the Division of Employment Security (DES) records in one of the following ways: Injured Worker (Completion of this section is required). Instructions: This form is to be used to change address of record. A current full-time career employee may be reassigned to a full-time career position if his or her job-related medical condition permits. If you are injured on the job, you can file a claim for benefits. The notification to the employer must include the name and business address of the chiropractor or acupuncturist. If you are an insurer wishing to change your address please complete an "Insurer Request for Change of Address" form (H-13R). Forms and Publications.

Washington Address Change Request for Injured Workers

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