Form F262-013-000 Employment History " Hearing Loss - Washington

Form F262-013-000 Employment History " Hearing Loss - Washington

What Is Form F262-013-000?

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 F262-013-000 Employment History?
A: Form F262-013-000 Employment History is a document related to employment records.

Q: What does the form cover?
A: The form covers information about the employment history of an individual.

Q: What is the purpose of the form?
A: The form is used to gather employment history information for a specific purpose, such as a hearing loss claim in Washington.

Q: What information is required on the form?
A: The form requires details about past employers, job duties, dates of employment, and contact information.

Q: Why is employment history important in a hearing loss claim?
A: Employment history is important in a hearing loss claim to establish exposure to occupational hazards or noise that may have contributed to the hearing loss.

Q: Is this form specific to Washington?
A: Yes, this form is specific to Washington state.

Q: Is there a fee for obtaining this form?
A: No, there is no fee for obtaining this form.

Q: Is it necessary to fill out this form for a hearing loss claim?
A: Yes, filling out this form is necessary to provide evidence of employment history related to the hearing loss claim.

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Form Details:

  • Released on June 1, 2015;
  • 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 fillable version of Form F262-013-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

Download Form F262-013-000 Employment History " Hearing Loss - Washington

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