This version of the form is not currently in use and is provided for reference only. Download this version of Form F242-079-255 for the current year.
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 F242-079-255?
A: Form F242-079-255 is an application to reopen a claim due to worsening of condition in Washington.
Q: What does this form allow you to do?
A: This form allows you to request to reopen a claim if your condition has worsened.
Q: Who can use this form?
A: This form is for individuals in Washington who have a workers' compensation claim and their condition has worsened.
Q: What is the purpose of reopening a claim?
A: The purpose of reopening a claim is to seek additional benefits or medical treatment due to worsening of your condition.
Q: Is this form available in multiple languages?
A: Yes, this form is available in English and Korean.
Form Details:
Download a printable version of Form F242-079-255 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.