Stipulation for Claim Closure - Washington

Stipulation for Claim Closure - Washington

Stipulation for Claim Closure is a legal document that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington.

FAQ

Q: What is a stipulation for claim closure?
A: A stipulation for claim closure is a legal agreement between the injured worker and the employer/insurer to close the worker's workers' compensation claim.

Q: What is the purpose of a stipulation for claim closure?
A: The purpose of a stipulation for claim closure is to reach a final resolution of the worker's compensation claim.

Q: How does a stipulation for claim closure work?
A: Both the injured worker and the employer/insurer agree on a settlement amount to compensate the worker for their injuries. Once the stipulation is approved by the Department of Labor and Industries, the claim is closed.

Q: Does a stipulation for claim closure end all benefits?
A: Yes, a stipulation for claim closure typically ends all future benefits including medical treatment and wage replacement.

Q: Can a stipulation for claim closure be modified?
A: In some cases, a stipulation for claim closure can be modified if there is a change in the injured worker's condition.

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Form Details:

  • Released on March 1, 2022;
  • The latest edition currently provided by the Washington State Department of Labor and Industries;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

Download Stipulation for Claim Closure - Washington

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