Form F242-079-213 Application to Reopen Claim Due to Worsening of Condition - Washington (English / Burmese)

What Is Form F242-079-213?

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 F242-079-213?
A: Form F242-079-213 is an application to reopen a claim due to worsening of condition in the state of Washington.

Q: What is the purpose of this form?
A: The purpose of this form is to request the reopening of a claim in the state of Washington due to a worsening of condition.

Q: How do I fill out this form?
A: You must provide your personal information, describe the changes in your medical condition, and provide any supporting documents.

Q: Is there a fee to submit this form?
A: No, there is no fee to submit this form.

Q: What do I do after completing this form?
A: After completing this form, you must mail it to the address listed on the form or submit it in person to the nearest Labor & Industries office.