Washington Your Workers' Compensation Rate Notice — SAMPLE ONLY is a document issued by the Washington State Department of Labor & Industries to employers with employees in the state of Washington. This document informs employers of their workers' compensation rate, which is used to calculate the amount of premium due for workers' compensation coverage. The document includes information about the employer's business, the type of workers' compensation coverage purchased, and the rate for the policy. There are two types of rate notices: annual and quarterly. The annual rate notice includes the employer's current rate, any changes to the rate, and the effective date of the rate change. The quarterly rate notice provides a breakdown of the rate and any applicable discounts.