Form F242-208-220 Application for Loss of Earning Power (Lep) - Compensation Medical - Washington (English / Chinese Simplified)

Form F242-208-220 Application for Loss of Earning Power (Lep) - Compensation Medical - Washington (English / Chinese Simplified)

What Is Form F242-208-220?

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 F242-208-220?
A: Form F242-208-220 is the Application for Loss of Earning Power (LEP) - Compensation Medical form used in Washington for workers' compensation medical claims.

Q: What is Loss of Earning Power (LEP)?
A: Loss of Earning Power (LEP) refers to the reduction in an individual's ability to earn income due to a work-related injury or illness.

Q: Who can use this form?
A: This form can be used by injured workers in Washington who are seeking compensation for loss of earning power resulting from a work-related injury or illness.

Q: What is Compensation Medical?
A: Compensation Medical refers to the medical benefits provided to injured workers to cover the costs of necessary medical treatment related to their work-related injury or illness.

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

ADVERTISEMENT

Form Details:

  • Released on December 1, 2004;
  • The latest edition provided by the Washington State Department of Labor and Industries;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form F242-208-220 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

Download Form F242-208-220 Application for Loss of Earning Power (Lep) - Compensation Medical - Washington (English / Chinese Simplified)

4.5 of 5 (76 votes)
  • Form F242-208-220 Application for Loss of Earning Power (Lep) - Compensation Medical - Washington (English / Chinese Simplified), Page 1
ADVERTISEMENT

Related Documents