Form F242-423-274 Declaration of Entitlement for Totally Disabled Worker Benefits Under Industrial Insurance - Washington (Mien)

This is a legal form that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington.

The document is provided in Mien. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on November 1, 2019;
• The latest edition provided by the Washington State Department of Labor and Industries;
• Easy to use and ready to print;
• Quick to customize;
• Compatible with most PDF-viewing applications;

Download a printable version of Form F242-423-274 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.