Form F242-079-249 Application to Reopen Claim Due to Worsening of Condition - Washington (English / Japanese)

Form F242-079-249 Application to Reopen Claim Due to Worsening of Condition - Washington (English / Japanese)

What Is Form F242-079-249?

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 F242-079-249?
A: Form F242-079-249 is an application to reopen a claim in Washington due to a worsening of a medical condition.

Q: Who can use Form F242-079-249?
A: Any individual who has an open workers' compensation claim in Washington and believes that their medical condition has worsened since the claim was closed.

Q: What is the purpose of Form F242-079-249?
A: The purpose of the form is to request the reopening of a workers' compensation claim in Washington due to the worsening of a medical condition.

Q: Is there a deadline to submit Form F242-079-249?
A: Yes, there is a deadline. The form must be submitted within the time limits set by Washington state law. It is recommended to submit the form as soon as possible after the worsening of the medical condition.

Q: Do I need to provide any supporting documentation with Form F242-079-249?
A: Yes, you should provide any medical reports, x-rays, or other relevant documentation that supports your claim of a worsening medical condition.

Q: What happens after I submit Form F242-079-249?
A: After you submit the form, the Washington State Department of Labor and Industries will review your claim and make a determination on whether to reopen your workers' compensation claim.

Q: Can I appeal if my request to reopen the claim is denied?
A: Yes, if your request to reopen the claim is denied, you have the right to appeal the decision to the Washington State Department of Labor and Industries.

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Form Details:

  • Released on June 1, 2022;
  • 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 printable version of Form F242-079-249 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

Download Form F242-079-249 Application to Reopen Claim Due to Worsening of Condition - Washington (English / Japanese)

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