Washington Forms


 12 State Forms found

name number revision print or send online

Declaration of Entitlement - Surviving Spouse-Registered Domestic Partner (Spanish)

F242-420-999 11-2019

Declaration of Entitlement for Dependent of Deceased Worker Benefits Under Industrial Insurance (Spanish)

F242-422-999 04-2017

Self-Insurer Beneficiary Application Letter

F207-236-000 01/01/2022

Self-Insurer Beneficiary Application Letter (Cambodian)

F207-236-214 01/01/2022

Self-Insurer Beneficiary Application Letter (Chinese Simplified)

F207-236-220 01/01/2022

Self-Insurer Beneficiary Application Letter (Chinese Traditional)

F207-236-221 01/01/2022

Self-Insurer Beneficiary Application Letter (Korean)

F207-236-255 01/01/2022

Self-Insurer Beneficiary Application Letter (Russian)

F207-236-294 01/01/2022

Self-Insurer Beneficiary Application Letter (Somali)

F207-236-303 01/01/2022

Self-Insurer Beneficiary Application Letter (Spanish)

F207-236-999 01/01/2022

Self-Insurer Beneficiary Application Letter (Vietnamese)

F207-236-319 01/01/2022

Declaration of Entitlement for Dependent of Deceased Worker Benefits Under Industrial Insurance

F242-422-000 04-2017
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.
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