This is a legal form that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form F242-071-000?
A: Form F242-071-000 is the Occupational Disease Work History form used in Washington State.
Q: What is the purpose of Form F242-071-000?
A: The purpose of Form F242-071-000 is to provide a detailed work history for individuals filing a claim for occupational disease benefits in Washington State.
Q: Who needs to fill out Form F242-071-000?
A: Form F242-071-000 needs to be filled out by individuals who are filing a claim for occupational disease benefits in Washington State.
Q: Is Form F242-071-000 specific to Washington State?
A: Yes, Form F242-071-000 is specific to Washington State and is used for filing occupational disease claims in that state.
Form Details:
Download a fillable version of Form F242-071-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.