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 F242-395-303?
A: Form F242-395-303 is an affidavit for time loss compensation benefits in Washington.
Q: Who can use Form F242-395-303?
A: Individuals in Washington filing for time loss compensation benefits can use Form F242-395-303.
Q: What are time loss compensation benefits?
A: Time loss compensation benefits are payments made to employees who are unable to work due to a work-related injury or illness.
Q: Is the Form F242-395-303 available in Somali?
A: Yes, the Form F242-395-303 is available in Somali language.
Form Details:
Download a printable version of Form F242-395-303 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.