workers compensation, on-the-job injury, social security workers compensation, work injury, office injury, construction site

Forms

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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