Washington Notice of Occupational Disease or Infection

State:
Washington
Control #:
WA-SKU-3750
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Notice of Occupational Disease or Infection

Washington Notice of Occupational Disease or Infection is a document filed with the Washington Department of Labor and Industries (L&I) to report an occupational disease or infection that has been contracted due to employment. It is a legal document used to notify the state that a worker has been exposed to a hazardous work environment and has developed an illness or injury as a result. The Washington Notice of Occupational Disease or Infection must be filed within one year of the date the employee first became aware of the occupational disease or infection. There are two types of Washington Notice of Occupational Disease or Infection: (1) Notice of Occupational Disease Claim (Form F245-002-000) and (2) Notice of Occupational Infection Claim (Form F245-003-000). The Notice of Occupational Disease Claim is for workers who have contracted an occupational disease due to their work environment, such as asbestos is, silicosis, or other occupational diseases. The Notice of Occupational Infection Claim is for workers who have contracted an occupational infection, such as hepatitis B or HIV, due to their work environment. The form must be completed and submitted to L&I along with any relevant medical records or other documentation.

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FAQ

RCW 51.32. 181: Occupational diseases?Public health emergencies?Infectious or contagious diseases.

An occupational disease is a health condition or disorder (e.g., cancer, musculoskeletal disorders, post-traumatic stress, etc.) that is caused by your work environment or activities related to your work.

The department shall send a copy to the worker and to the self-insurer if the worker's employer is self-insured. However, a claim is valid if it is filed within two years from the date of death of the worker suffering from an occupational disease.

L&I maintains a list of self-insured employers. Your employer or their representative handles your paperwork and pays for the claim. They will give you a Self?Insurer Accident Report (SIF?2) form. Fill out the form completely and return it to your employer or their representative.

L&I adopted a 4.8% overall average premium rate increase to workers' compensation insurance premium rates beginning January 1, 2023, and adjusting each industry risk classification rate to align with expected losses.

Employers purchase coverage through the Department of Labor & Industries (L&I). L&I manages all claims and pays benefits out of an insurance pool called the Washington State Fund. The fund is financed by premiums paid by employers and employees, not by general revenue taxes.

Here's how L&I calculates the premium rate for each of the business's risk classifications: Multiplying the business's experience factor by the sum of the Accident Fund, Medical Aid Fund, and Stay at Work base rates, and then. Adding the base rate for the Supplemental Pension Fund.

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Washington Notice of Occupational Disease or Infection