Form F242-420-000 Declaration of Entitlement for Surviving Spouse or Registered Domestic Partners Benefits Under Industrial Insurance - Washington

What Is Form F242-420-000?

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 F242-420-000?
A: Form F242-420-000 is a declaration of entitlement for surviving spouse or registered domestic partners benefits under industrial insurance in Washington state.

Q: Who is eligible to use this form?
A: This form is for surviving spouses or registered domestic partners of workers who have passed away due to work-related injuries or illnesses in Washington.

Q: What benefits does this form provide?
A: This form provides benefits to surviving spouses or registered domestic partners, including financial support and medical treatment related to the work-related injury or illness.

Q: Are there any deadlines for submitting this form?
A: Yes, there are deadlines for submitting this form. It is important to submit the form as soon as possible after the worker's death to ensure timely processing of benefits.