Form F242-243-000 Notice of Occupational Disease or Infection - Washington

Form F242-243-000 Notice of Occupational Disease or Infection - Washington

What Is Form F242-243-000?

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 F242-243-000?
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.

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Form Details:

  • Released on December 1, 2012;
  • 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 F242-243-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

Download Form F242-243-000 Notice of Occupational Disease or Infection - Washington

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