L&I Links and Forms

What to do if you are injured at work:  http://www.lni.wa.gov/ClaimsIns/Claims/Guide/phase1.asp

How to file a claim:  http://www.lni.wa.gov/ClaimsIns/Claims/Guide/phase2.asp

Work Status Form (English):  http://www.lni.wa.gov/Forms/pdf/F242-052-000.pdf

Work Status Form (Spanish):  http://www.lni.wa.gov/forms/pdf/F242-052-999.pdf

Activity Prescription Form:  http://www.lni.wa.gov/forms/pdf/F242-385-000.pdf

Change Your Attending Provider: http://www.lni.wa.gov/FormPub/Detail.asp?DocID=1618

For a complete list of L&I Claims and Insurance-related Forms and Publications, go to http://www.lni.wa.gov/FormPub/results.asp?Section=2&SubSection=4&Show=0&Sort=0&DocType=0

 

 

 

 

 

 

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