Workers Compensation Forms for all 50 States | State Forms and Information | Claimwire: Workers' Compensation Resource for Forms and Information

Register Login

Washington Forms

421 State Forms found

name	number	revision	print or send online
Request for Claim Information	F242-430-000	06-2017
Resource Utilization Group (RUG) Residential Care Services for L&I Injured Workers (In place of MDS 3.0 beginning October 1, 2010.)	F245-392-000	10-2010
Self Insurance Continuing Education Report of Course Completion	F207-191-000	06-2024
Self Insurance Continuing Education Sponsor/Instructor Application for Course Approval	F207-192-000	10-2019
Self-Insurance Electronic Data Reporting System (SIEDRS) Enrollment Form	F207-193-000	02-2008
SELF-INSURED EMPLOYER CERTIFICATE OF EXCESS INSURANCE	F207-095-000	9-01
SELF-INSURED EMPLOYERS' MEDICAL ONLY CLAIM CLOSURE ORDER AND NOTICE	F207-020-111	08-2013
SELF-INSURED EMPLOYERS' MEDICAL ONLY CLAIM CLOSURE ORDER AND NOTICE (Spanish)	F207-020-999	08-2013
SELF-INSURED EMPLOYER'S PERMANENT PARTIAL DISABILITY CLOSURE ORDER AND NOTICE - PPD-NTL	F207-165-000	08-2013
SELF-INSURED EMPLOYER'S PERMANENT PARTIAL DISABILITY CLOSURE ORDER AND NOTICE - PPD-NTL (Spanish)	F207-165-999	08-2013
SELF-INSURED EMPLOYER'S PERMANENT PARTIAL DISABILITY CLOSURE ORDER AND NOTICE - PPD-TL	F207-164-000	08-2013
SELF-INSURED EMPLOYER'S PERMANENT PARTIAL DISABILITY CLOSURE ORDER AND NOTICE - PPD-TL (Spanish)	F207-164-999	08-2013
SELF-INSURED EMPLOYERS' TIME LOSS CLAIM CLOSURE ORDER AND NOTICE	F207-070-000	08/2013
SELF-INSURED EMPLOYERS' TIME LOSS CLAIM CLOSURE ORDER AND NOTICE (Spanish)	F207-070-999	08-2013
Self-Insurer Accident Report (SIF-2)	F207-002-000	02-2021

1
2
3
4
5
6
7
8
9
10
11

Disclaimer: These forms may not be the most recent version. Washington may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.

Loading results ...

Origami Risk

1379 N 1075 W, Suite 226,
Farmington, UT 84025
312.546.6515
info@origamirisk.com

© 2025 Origami Risk. All Rights Reserved.