Form F800-109-000 Crime Victims Compensation Claim for Lost Wage Benefits for Employer - Washington

What Is Form F800-109-000?

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 F800-109-000?
A: Form F800-109-000 is a Crime Victims Compensation Claim for Lost Wage Benefits for Employer in Washington.

Q: Who can use Form F800-109-000?
A: This form is used by employers in Washington to claim lost wage benefits for their employees who are victims of a crime.

Q: What are lost wage benefits?
A: Lost wage benefits are financial compensation provided to employees who are unable to work due to injuries sustained as a result of a crime.

Q: How can I obtain Form F800-109-000?
A: You can obtain a copy of Form F800-109-000 from the Washington State Department of Labor and Industries.

Q: What information is required on Form F800-109-000?
A: Form F800-109-000 requires information about the employee, details of the crime, medical documentation, and supporting documents from the employer.

Q: What is the purpose of Crime Victims Compensation?
A: Crime Victims Compensation is a program that provides financial assistance to help victims of crime cover expenses such as medical bills, lost wages, and funeral costs.

Q: Is there a deadline for submitting Form F800-109-000?
A: Yes, there is a deadline for submitting Form F800-109-000. It must be filed within one year of the date of the crime, or within one year of the date the crime was reported to law enforcement.

Q: Are there any eligibility requirements for Crime Victims Compensation?
A: Yes, there are eligibility requirements for Crime Victims Compensation. The victim must have reported the crime to law enforcement, cooperated with the investigation, and suffered physical or emotional harm as a result of the crime.