Washington Notice of Occupational Disease or Infection

State:
Washington
Control #:
WA-SKU-3750
Format:
PDF
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Description

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.

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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Washington Notice of Occupational Disease or Infection