Form F242-071-289 Occupational Disease Work History - Washington (Polish)

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

FAQ

Q: What is Form F242-071-289?
A: Form F242-071-289 is a document related to the Occupational Disease Work History in Washington.

Q: What is the purpose of Form F242-071-289?
A: The purpose of Form F242-071-289 is to gather information about the work history of an individual in relation to occupational diseases.

Q: Who needs to fill out Form F242-071-289?
A: Generally, individuals who believe they have contracted an occupational disease while working in Washington need to fill out Form F242-071-289.

Q: Is Form F242-071-289 specific to a particular industry?
A: No, Form F242-071-289 is not specific to any particular industry. It is applicable to all industries in Washington.

Q: Are there any fees associated with submitting Form F242-071-289?
A: No, there are no fees associated with submitting Form F242-071-289.

Q: What information is required in Form F242-071-289?
A: Form F242-071-289 requires information about the individual's work history, including the names of employers, job titles, and dates of employment.

Q: What should I do after completing Form F242-071-289?
A: After completing Form F242-071-289, you should submit it to the Washington State Department of Labor & Industries for further processing.

Q: What happens after I submit Form F242-071-289?
A: After submitting Form F242-071-289, the Washington State Department of Labor & Industries will review the information provided and communicate any further steps.

Q: Is Form F242-071-289 available in languages other than English?
A: Yes, Form F242-071-289 is available in languages other than English, including Polish.