WA DOL TD-420-073 2018 free printable template

Click here to START or CLEAR, then hit the TAB buttonDisabled Parking Application for IndividualsOnce you and your healthcare provider have completed the appropriate sections, take this application

How to fill out WA DOL TD-420-073

How to fill out WA DOL TD-420-073

1. Start with your personal information: Enter your name, address, and contact details in the designated sections.
2. Provide your Social Security Number (SSN) as required.
3. Select the reason for your claim from the options provided.
4. Fill in any employment information including your employer's name, address, and your job title.
5. Indicate the dates of your employment and the date your last work occurred.
6. Describe the circumstances that led to your claim in the designated section.
7. Review your entries for accuracy before proceeding.
8. Sign and date the form at the bottom.
9. Submit the completed form as instructed, either online or by mail.

Who needs WA DOL TD-420-073?

1. Individuals who have been involved in a work-related incident, need to file a claim for benefits, or require wage loss compensation.
2. Employees seeking unemployment benefits due to job separation.
3. Workers who are applying for vocational rehabilitation services.
4. Anyone needing to report work-related injuries or illnesses.

People Also Ask about

How do you get a handicap placard in the state of Washington?

Applying for a Parking Permit The applicant and a certifying medical professional must complete the application form. The applicant can submit the form by mail or deliver it to a vehicle licensing office. A receipt and disabled parking permit will be mailed as soon as the application is processed.

How do I get a handicap parking pass in BC?

How do I apply for a Parking Permit? If you have mobility limitations and wish to apply for a Parking Permit, you must obtain a parking permit application form from the SPARC BC website or request one be mailed to you. We require a referral from a medical professional with a valid MSP number.

How do I renew my handicap placard in WV?

Temporary placards are not eligible for renewal, but you can re-apply by filling out a new application form and obtaining a new medical certification. Permanent placards can be renewed after the five-year period. You must send in the renewal form you receive via mail, but do not need a new medical certification.

Can you use out of state handicap placard in Washington state?

Valid disabled permits, used by their registered owner, that are issued by other states or countries are treated the same as Washington-issued placards.

How do I get a handicap placard in Washington state?

Applying for a Parking Permit The applicant and a certifying medical professional must complete the application form. The applicant can submit the form by mail or deliver it to a vehicle licensing office. A receipt and disabled parking permit will be mailed as soon as the application is processed.

What is required to get a handicap placard in Washington state?

You must provide a separate signed authorization stating: (1) the applicant's name and (2) they have a condition which qualifies them for disabled parking privileges. This authorization must be on prescription paper or your office letterhead.

Can I use my Washington handicap placard in another state?

It's generally accepted that your handicap parking permit is valid in all 50 states across the country. So, you should be permitted to park in any designated handicap parking place, no matter what state you find yourself in.

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What is WA DOL TD-420-073?

WA DOL TD-420-073 is a form used by the Washington State Department of Labor and Industries for reporting certain employee wage and hour data for compliance with state labor laws.

Who is required to file WA DOL TD-420-073?

Employers in Washington State who pay their employees on an hourly basis or need to report wage and hour compliance information are required to file WA DOL TD-420-073.

How to fill out WA DOL TD-420-073?

To fill out WA DOL TD-420-073, employers must provide accurate details about employee hours worked, wages paid, and any deductions applied, following the instructions provided on the form.

What is the purpose of WA DOL TD-420-073?

The purpose of WA DOL TD-420-073 is to ensure compliance with state wage and hour laws, enabling the Department of Labor and Industries to monitor and enforce fair labor practices.

What information must be reported on WA DOL TD-420-073?

The information that must be reported on WA DOL TD-420-073 includes employee names, hours worked, total wages earned, deductions, and employer details.