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Form F242-208-255 Application for Loss of Earning Power (Lep) - Compensation Medical - Washington (English / Korean)
What Is Form F242-208-255?
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 F242-208-255?
A: Form F242-208-255 is the Application for Loss of Earning Power (Lep) - Compensation Medical form.
Q: What is the purpose of Form F242-208-255?
A: The purpose of Form F242-208-255 is to apply for Loss of Earning Power (Lep) compensation medical benefits in Washington.
Q: Who can use Form F242-208-255?
A: Anyone who is applying for Loss of Earning Power (Lep) compensation medical benefits in Washington can use Form F242-208-255.
Q: Is Form F242-208-255 available in both English and Korean?
A: Yes, Form F242-208-255 is available in both English and Korean.
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 F242-208-255 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.
