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 F242-243-000?
A: Form F242-243-000 is a Notice of Occupational Disease or Infection specifically for the state of Washington.
Q: Who needs to use Form F242-243-000?
A: This form is used by individuals who have contracted an occupational disease or infection in the state of Washington and need to notify their employer.
Q: What is the purpose of Form F242-243-000?
A: The purpose of this form is to provide written notice to the employer regarding the occupational disease or infection, as required by Washington state law.
Q: What information is required on Form F242-243-000?
A: The form requires information such as the employee's name, employer's name, type of disease or infection, and date of manifestation.
Q: When should Form F242-243-000 be submitted?
A: Form F242-243-000 should be submitted to the employer as soon as possible after the employee becomes aware of the occupational disease or infection.
Q: Is there a deadline for submitting Form F242-243-000?
A: Yes, the form should be submitted within one year from the date the employee knew or should have known of the occupational disease or infection.
Q: What happens after submitting Form F242-243-000?
A: After receiving the form, the employer is required to submit it to the Washington State Department of Labor and Industries within five days.
Q: Are there any additional steps to take after submitting Form F242-243-000?
A: Yes, the employee may need to seek medical treatment and may also need to file a separate workers' compensation claim.
Form Details:
Download a printable version of Form F242-243-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.