12624
This form is used for recording work history related to occupational diseases in the state of Washington specifically for Kurdish-speaking individuals.
This form is used for Washington pensioners to request a change of address for their pension benefits.
This form is used for applying to reopen a claim in Washington state due to a worsening of a medical condition. It is available in both English and Tagalog.
This form is used for applying to reopen a claim in the state of Washington due to a worsening of a medical condition. It is available in both English and Somali languages.
This Form is used for pensioners in Washington to request a change of address.
This form is used for recording employment history in Washington state. It is available in Chinese.
This Form is used for applying to reopen a claim in Washington due to the worsening of a medical condition.
This form is used to provide employment history information for individuals residing in Washington.
This form is used for recording work history related to occupational diseases specific to Washington state. It is available in Somali language.
This form is used for applying for compensation medical benefits for loss of earning power in Washington state. The form is available in both English and Bosnian languages.
This form is used for applying for compensation for loss of earning power due to a work-related injury in the state of Washington. It is available in both English and Arabic languages.
This form is used for applying for Loss of Earning Power (LEP) compensation due to medical reasons in Washington. The form is available in English and Croatian.
This form is used for applying for compensation for loss of earning power due to a work-related injury in Washington. It is available in both English and Chuukese languages.
This form is used for applying for compensation for loss of earning power in case of a work-related injury in Washington. It is available in both English and Cambodian languages.
This Form is used for applying for Loss of Earning Power (LEP) compensation medical benefits in Washington. It is available in both English and Chinese (Simplified) languages.
This Form is used for applying for Loss of Earning Power (LEP) compensation medical benefits in Washington state. It is available in both English and Burmese.
This form is used for applying for compensation for loss of earning power due to a medical condition in Washington. It is available in both English and Oromo languages.
This form is used for applying for compensation for loss of earning power due to a medical condition in Washington state. The form is available in English and Marshallese languages.
This form is used for applying for compensation medical benefits in Washington State for the loss of earning power (LEP). The form is available in both English and Korean languages.
This form is used for applying for compensation for loss of earning power due to a work-related injury or illness. It is specifically for residents of Washington and is available in both English and Farsi.
This form is used for filing an application for loss of earning power (LEP) compensation medical benefits in Washington. The form is available in both English and Punjabi languages.
This Form is used for applying for compensation for loss of earning power due to a work-related injury or illness. It is available in both English and Tagalog and is specific to the state of Washington.
This Form is used for applying for compensation for loss of earning power (LEP) due to a medical condition in Washington State. The form is available in both English and Lao languages.
This form is used to apply for Loss of Earning Power (LEP) compensation medical benefits in Washington. The form is available in English and Somali languages.
This form is used for applying for Loss of Earning Power (LEP) compensation in Washington. It is available in English and Swahili.
This Form is used for applying for Loss of Earning Power (LEP) compensation medical in Washington. It is available in both English and Chinese.
This form is used for applying for compensation medical benefits in Washington for loss of earning power. It is available in both English and Vietnamese.
This Form is used for applying for compensation due to income reduction for medical reasons in Washington.