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Washington State: New Workers' Compensation forms
Jul 24, 2023 - 0 comments
LEAP has added the following forms to the Workers' Compensation matter type in Washington State:
- Work Status Form
- Affidavit for Time-Loss Compensation
- Application for Loss of Earning Power Benefits (without Vocational Counselor Section)
- Application for Loss of Earning Power Compensation (with Vocational Counselor Section)
- Application to Reopen Claim Due to Worsening of Condition
- Transfer of Care Form
- Claim Allowance Request
- Claim Closure
- Self-Insured Employers' Medical Only Claim Closure Order and Notice
- Self-Insured Employers' Permanent Partial Disability Closure Order and Notice - PPD-NTL
- Self-Insured Employers' Permanent Partial Disability Closure Order and Notice - PPD-TL
- Self-Insured Employers' Time Loss Claim Closure Order and Notice
- Schedule of Future Payments for the Balance of the Permanent Partial Disability Award
- Self-Insurance Vocational Reporting Form
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