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Washington Forms

28 State Forms found

name	number	revision	print or send online
Declaration of Entitlement for Totally Disabled Worker Benefits Under Industrial Insurance	F242-423-000	11-2019
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
Schedule of Future Payment for the Balance of the Permanent Partial Disability Award	F207-162-000	11-2014
Functional Recovery Interventions (RFI) Tracking Sheet	F245-420-000	05-2017
SELF-INSURED EMPLOYER'S PERMANENT PARTIAL DISABILITY CLOSURE ORDER AND NOTICE - PPD-TL (Cambodian)	F207-164-214	08-2013
SELF-INSURED EMPLOYER'S PERMANENT PARTIAL DISABILITY CLOSURE ORDER AND NOTICE - PPD-TL (Chinese Simplified)	F207-164-220	08-2013
SELF-INSURED EMPLOYER'S PERMANENT PARTIAL DISABILITY CLOSURE ORDER AND NOTICE - PPD-TL (Chinese Traditional)	F207-164-221	08-2013
SELF-INSURED EMPLOYER'S PERMANENT PARTIAL DISABILITY CLOSURE ORDER AND NOTICE - PPD-TL (Korean)	F207-164-255	08-2013
SELF-INSURED EMPLOYER'S PERMANENT PARTIAL DISABILITY CLOSURE ORDER AND NOTICE - PPD-TL (Russian)	F207-164-294	08-2013
SELF-INSURED EMPLOYER'S PERMANENT PARTIAL DISABILITY CLOSURE ORDER AND NOTICE - PPD-TL (Somali)	F207-164-303	08-2013
SELF-INSURED EMPLOYER'S PERMANENT PARTIAL DISABILITY CLOSURE ORDER AND NOTICE - PPD-TL (Vietnamese)	F207-164-319	08-2013
SELF-INSURED EMPLOYER'S PERMANENT PARTIAL DISABILITY CLOSURE ORDER AND NOTICE - PPD-NTL (Cambodian)	F207-165-214	08-2013
SELF-INSURED EMPLOYER'S PERMANENT PARTIAL DISABILITY CLOSURE ORDER AND NOTICE - PPD-NTL (Chinese Simplified)	F207-165-220	08-2013

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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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