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This version of the form is not currently in use and is provided for reference only. Download this version of
Form F242-423-289
for the current year.
Form F242-423-289 Declaration of Entitlement for Totally Disabled Worker Benefits Under Industrial Insurance - Washington (Polish)
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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 Polish. As of today, no separate filing guidelines for the form are provided by the issuing department.
Form Details:
- Released on February 1, 2017;
- 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;
Download a printable version of Form F242-423-289 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.
Download Form F242-423-289 Declaration of Entitlement for Totally Disabled Worker Benefits Under Industrial Insurance - Washington (Polish)
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