RESOURCES

Click here for information in spanish (ESPAÑOL)

For Interpreters

• L & I   Telephone   (360)547-8367       Fax    (360) 902-4567
• Interpretive Services Appointment Record (ASAR) Form (pdf format)
• Provider's Request for Adjustment Form (pdf format)

For Injured Workers

• Worker Verification form: Completed by the injured worker if they are unable to work due to a workplace injury and their employer is not paying their full wages.
• Formulario de Verificación de EmpleoWorker Verification Form in Spanish
• Statement for pharmacy Services : To have L&I reimburse an injured worker for costs associated with purchasing their prescriptions less any co-payment. This form is filled out by the pharmacist. These forms will be accepted by L&I.
• Travel Reimbursement Request : Injured workers use this form to request reimbursement for travel expenses used to receive treatment, retraining and/or vocational services. These forms will be accepted by L&I .
• Claim for Pension by Spouse or Children: Used by surviving spouse or children of a deceased worker. to file a claim for benefits