Form F242-079-000 Application to Reopen Claim Due to Worsening of Condition - Washington

Form F242-079-000 Application to Reopen Claim Due to Worsening of Condition - Washington

What Is Form F242-079-000?

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 F242-079-000?
A: F242-079-000 is the application form to reopen a claim due to worsening of condition in the state of Washington.

Q: What is the purpose of this form?
A: The purpose of this form is to request the reopening of a claim because the worker's condition has worsened.

Q: Who can use this form?
A: This form can be used by workers in the state of Washington who have had a previous workers' compensation claim and their condition has worsened.

Q: What should be included in the application?
A: The application should include the worker's information, details about the previous claim, and information about the worsening of the condition.

Q: Is there a deadline for submitting this form?
A: Yes, there is a deadline. The application must be submitted within two years from the date of the last determination or order on the claim.

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

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Form Details:

  • Released on August 1, 2019;
  • The latest edition provided by the Washington State Department of Labor and Industries;
  • Easy to use and ready to print;
  • Available in Somali;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form F242-079-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

Download Form F242-079-000 Application to Reopen Claim Due to Worsening of Condition - Washington

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