FREE 13+ Accident Report Forms in PDF MS Word Excel
L&I Accident Report Form Pdf. Web online via our filefast tool by signing into my l&i. Due to the volume of requests for.
FREE 13+ Accident Report Forms in PDF MS Word Excel
Web employer's first report of injury. Web online via our filefast tool by signing into my l&i. Employer's address and zip code 30. 401 sw topeka blvd, suite 2. Web do not send the completed form to this office. Web washington state department of labor & industries Web employee’s report of injury form instructions: Department of labor (see instructions on reverse) office of workers' compensation programs omb no. Complete this form only when. It is not necessary to repeat information;
Please note that the custodian of records will handle this request in conjunction with all other request for records. Filing this form does not constitute an admission of liability. How to file an l&i claim if you suffer an injury at work or develop an occupational disease, you need to file a claim right away. By mail (with the claim letter you will receive a paper copy of the employer's report of accident) we want to. Web kansas department of labor. Web employer's first report of injury. Send chart notes and reports to l&i or sie/tpa as required. Employer's address and zip code 30. 401 sw topeka blvd, suite 2. Employer's telephone number ( ) 31. Due to the volume of requests for.
