How do I contact the L&I employer in Washington state?

General information. Contact the Washington State Department of Labor & Industries for information about agency programs and services in your language at 1-800-547-8367.

How long do you have to file an L&I claim in Washington state?

Industrial Injury Claims: You must file your industrial injury claim with L&I or your self-insured employer within one year of the date of the accident.

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Washington Industrial Insurance Discrimination Complaint Form

Washington Industrial Insurance Discrimination Complaint Form

Name: Washington Industrial Insurance Discrimination Complaint Form
Brand: US Legal Forms
Price: 59.00 USD
Rating: 4.84 (421 reviews)

Category:

Washington Workers Compensation - Official

State:

Washington

Control #:

WA-SKU-3665

Format:

Instant download

This website is not affiliated with any governmental entity

Public form

Description

Industrial Insurance Discrimination Complaint Form Washington Industrial Insurance Discrimination Complaint Form is a document used to submit a complaint about alleged discrimination in the workplace based on industrial insurance eligibility in the state of Washington. This form is used by employees to report discrimination based on their industrial insurance status, including denial of industrial insurance coverage, unequal treatment because of industrial insurance status, or any other form of discrimination related to industrial insurance eligibility. There are two types of Washington Industrial Insurance Discrimination Complaint Forms: Form F500-163, the General Discrimination Complaint Form, and Form F500-164, the Discrimination Complaint Form for Employees Covered by Industrial Insurance. Both forms require the complainant to provide their contact information, background information related to the complaint, and a detailed description of the alleged discrimination.

Washington Industrial Insurance Discrimination Complaint Form is a document used to submit a complaint about alleged discrimination in the workplace based on industrial insurance eligibility in the state of Washington. This form is used by employees to report discrimination based on their industrial insurance status, including denial of industrial insurance coverage, unequal treatment because of industrial insurance status, or any other form of discrimination related to industrial insurance eligibility. There are two types of Washington Industrial Insurance Discrimination Complaint Forms: Form F500-163, the General Discrimination Complaint Form, and Form F500-164, the Discrimination Complaint Form for Employees Covered by Industrial Insurance. Both forms require the complainant to provide their contact information, background information related to the complaint, and a detailed description of the alleged discrimination.

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How to fill out Washington Industrial Insurance Discrimination Complaint Form?

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FAQ

General information. Contact the Washington State Department of Labor & Industries for information about agency programs and services in your language at 1-800-547-8367.

For more information or if you would like to file a complaint please clink on the WSHRC link above or call (800)233-3247 or (360)753-6770.

Call 360-902-6088 or 1-800-423-7233. Get a discrimination complaint form (F416-011-000) in English or in Spanish and other languages (F416-011-999). You can submit the form to our secure file upload .

Call 1-800-423-7233. Fill out a DOSH Complaint Form and: Submit the form to our secure file upload. You can also use this link to send us photos, videos, documents, and all other supporting information along with your form.

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)

Industrial Injury Claims: You must file your industrial injury claim with L&I or your self-insured employer within one year of the date of the accident.

File a Complaint Online - Use the Online Complaint Form.Fax/Mail/Email - Complete the OSHA Complaint Form Espanol, or Send a Letter Describing Your Complaint.Telephone - Call Your Local OSHA Office or 800-321-6742 (OSHA)In Person - Visit Your Local OSHA Office.Online - Use the Online Whistleblower Complaint Form.

More info

Industrial Insurance Discrimination. F262-009-999 Industrial Insurance Discrimination Complaint Form 12-2019. Investigations.Download Industrial Insurance Discrimination Complaint Form (F262-009-000) – Department of Labor and Industries (Washington) form. Download and complete the Retaliation Complaint or Equal Pay Complaint form. Print, complete the form thoroughly, sign and date it. Submit the completed questionnaire to our offices. You can file a complaint online OR you can download the MIOSHA Complaint Form, complete and sign the form, then mail or fax it to MIOSHA. If you have problems with a company or individual in the finance and insurance industries, complete a complaint form so we can look into the situation. However, if you prefer to file a complaint via fax or mail, please complete and submit the following Consumer Complaint Form. If you would like to report suspected insurance fraud, please visit our Fraud Division page and file your complaint through our online complaint form.

Washington Industrial Insurance Discrimination Complaint Form

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