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Forms
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Click on any of the forms below. You may view them directly in your browser or download them to your computer for storage or viewing later with Adobe Reader. L & I Forms (click here to view list of SLF forms)
Work Verification Form (Fill-in form)
(133 KB)
Work Verification Form
Verification of School Enrollment (Fill-in form)
(141 KB)
Verification of School Enrollment
Travel Reimbursement Request (Fill-in form)
(172 KB)
Travel Reimbursement Request (Fill-in form)
Prescription Reimbursement Form
(44 KB)
Prescription Reimbursement Form
Application for LEP Compensation
(18 KB)
Application for LEP Compensation
Application to re-open claim (fill-in form)
(116 KB)
Application to re-open claim (fill-in form)
L&I Time Loss Notification Form
(59 KB)
L&I Time Loss Notification Form
Medical Case Transfer Request
(151 KB)
Medical Case Transfer Request
Sharpe Law Firm (SLF) Forms
Directions
(73 KB)
Directions
Self-Insured Investigation Request Form (Word Document)
(26 KB)
Self-Insured Investigation Request Form
State Fund Investigation Request Form (Word Document)
(26 KB)
State Fund Investigation Request Form
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