Washington Affidavit for Time Loss Compensation Benefits is an affidavit used to report time lost from work due to an industrial injury or illness. It is an important document required to obtain compensation benefits under the Washington Industrial Insurance Act. The Washington Affidavit for Time Loss Compensation Benefits is a sworn statement of an injured worker, in which the worker must provide a detailed description of the injury or illness, the amount of time lost from work, and any wages lost due to the injury or illness. The affidavit is then submitted to the Department of Labor and Industries, who will review it and determine whether the worker is eligible for compensation benefits. There are two types of Washington Affidavit for Time Loss Compensation Benefits: the Standard Time Loss Affidavit, and the Modified Time Loss Affidavit. The Standard Time Loss Affidavit is used by workers seeking compensation benefits for a single industrial injury or illness. The Modified Time Loss Affidavit is used by workers seeking compensation benefits for multiple industrial injuries or illnesses.