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
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How to fill out Washington Industrial Insurance Discrimination Complaint Form?
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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.
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.
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)
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.
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 .
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.
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.