Washington State Department of Labor and Industries Forms

This form is used for filing a protected leave complaint in Washington state in the Korean language. It is specifically for employees who believe that their rights to protected leave have been violated.

This document is for filing a complaint related to protected leave in Washington State. It is available in Vietnamese.

This Form is used for farm labor contractors in Washington to assign their accounts or time deposits.

This Form is used for formalizing an agreement between a farm and an intern in the state of Washington. It outlines the terms and conditions of the internship, including responsibilities, duration, and any compensation provided.

This Form is used for filing a protected leave complaint in Washington state in Russian language.

This form is used for lodging complaints related to farm internship projects in the state of Washington.

This form is used for authorizing a specific public works project in Washington. It is specifically for the 4/10 work agreement.

This Form is used for parents in Washington to authorize their child's summer work. It is available in Somali language.

This form is used for applying to employ workers with a disability at a subminimum wage in Washington.

This form is used for victims of crime in Washington state to apply to reopen their claim if their condition has worsened. It is available in English and Chinese.

This Form is used for applying to reopen a crime victim claim in Washington due to the worsening of a condition. The form is available in both English and Chinese.

This type of document is an application form used in Washington for Somali-speaking crime victims to reopen their claim due to a worsening condition.

This form is used for crime victims in Washington to apply for reopening their claim due to worsening condition. This document is available in both English and Vietnamese languages.

This form is used for filing a retaliation complaint under the Minimum Wage Act and Paid Sick Leave in Washington. It allows individuals to report any instances of retaliation they have faced for exercising their rights related to minimum wage or paid sick leave.

This Form is used for residents of Washington to apply for reopening a crime victims claim due to worsening of their condition.

This form is used for victims of crime in Washington who want to reopen their claim due to a worsening of their condition. It is available in both English and Cambodian languages.

This document is an application form used in Washington for crime victims to reopen their claim due to a worsening condition. It is available in both English and Russian languages.

This form is used for submitting a crime victims statement for pharmacy services in Washington state.

This form is used for capturing progress notes related to the Comprehensive Vocational Curriculum Plan (CVCP) in the state of Washington.

This form is used for crime victims in Washington to apply for benefits for injury claims.

This form is used for submitting a statement for a compound prescription in the state of Washington.

This form is used for the initial response and assessment of a Cvcp (Child or Vulnerable Adult Crisis Prevention) situation in Washington. It helps in understanding and evaluating the immediate needs and risks involved in order to provide appropriate support and intervention.

This form is used for submitting a Cvcp Termination Report in Washington. The report is used to disclose the termination of a Controlled Substance Chemical Dependency Professional (Cvcp).

This form is used for documenting and reporting home nursing services in the state of Washington. It helps individuals or agencies involved in providing home healthcare to keep track of services provided and submit necessary information to the appropriate authorities.

This Form is used for healthcare providers in Washington to request adjustments to their billing records.