Form F242-079-221 Application to Reopen Claim Due to Worsening of Condition - Washington (English / Chinese)

What Is Form F242-079-221?

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.

FAQ

Q: What is Form F242-079-221?
A: Form F242-079-221 is an application to reopen a claim due to a worsening of condition in the state of Washington.

Q: Why would someone use this form?
A: This form is used when a claimant's medical condition has worsened, and they want to reopen their claim for benefits.

Q: What does this form apply to?
A: This form applies to workers' compensation claims in the state of Washington.

Q: Is this form available in multiple languages?
A: Yes, this form is available in English and Chinese.

Q: What do I need to include with this form?
A: You will need to include supporting medical documentation that proves the worsening of your condition.

Q: Who can help me fill out this form?
A: You can seek assistance from your healthcare provider or a workers' compensation attorney to help you fill out this form.

Q: What happens after submitting this form?
A: After submitting this form, your claim will be reviewed by the Washington State Department of Labor & Industries, and they will make a determination on whether to reopen your claim.

Q: Can I appeal if my claim is not reopened?
A: Yes, if your claim is not reopened, you have the right to appeal the decision.

Q: Are there any deadlines for submitting this form?
A: Yes, there are specific deadlines for submitting this form, so it is important to check with the Washington State Department of Labor & Industries for the exact timeframe.