Form F242-071-243 Occupational Disease Work History - Washington (Hmong)

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 Hmong. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F242-071-243?
A: Form F242-071-243 is the Occupational Disease Work History form specific to Washington state and intended for Hmong-speaking individuals.

Q: What is the purpose of Form F242-071-243?
A: The purpose of Form F242-071-243 is to gather information about an individual's work history in order to determine if their occupational disease claim is eligible for compensation.

Q: Who is required to complete Form F242-071-243?
A: This form is typically completed by Hmong-speaking individuals in Washington who are filing an occupational disease claim.

Q: Is Form F242-071-243 specific to a certain occupation or industry?
A: No, Form F242-071-243 is not specific to a certain occupation or industry. It is used to collect work history information for any type of occupational disease claim.

Q: What information is required on Form F242-071-243?
A: Form F242-071-243 requires information about the individual's employment history, including dates of employment, job duties, and exposure to specific hazards.

Q: Are there any fees associated with submitting Form F242-071-243?
A: No, there are no fees associated with submitting Form F242-071-243. It is a free form provided by the Washington State Department of Labor and Industries.

Q: Who should I contact if I have questions about Form F242-071-243?
A: If you have questions about Form F242-071-243, you can contact the Washington State Department of Labor and Industries, or consult with an attorney specializing in workers' compensation.