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 Somali. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form F242-071-303?
A: Form F242-071-303 is the Occupational Disease Work History form used in Washington.
Q: What is the purpose of Form F242-071-303?
A: The purpose of Form F242-071-303 is to gather information about a worker's work history in relation to occupational diseases in Washington.
Q: Who should fill out Form F242-071-303?
A: Form F242-071-303 should be filled out by workers who suspect they have developed an occupational disease related to their work in Washington.
Q: How do I fill out Form F242-071-303?
A: Form F242-071-303 requires you to provide information about your work history, including job titles, dates of employment, and details about your job tasks and exposures.
Q: What should I do once I have completed Form F242-071-303?
A: Once you have completed Form F242-071-303, you should submit it to the Washington State Department of Labor & Industries as soon as possible to initiate the occupational disease claim process.
Form Details:
Download a printable version of Form F242-071-303 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.