WA F242-385-000 2018-2025 free printable template

Activity Prescription Form APF State Fund Claim Department of Labor and Industries PO Box 44291 Olympia WA 98504-4291 Fax to claim file 360-902-4567 Billing Code 1073M Guidance on back Reminder Send chart notes and reports to L I or SIE/TPA as required. Complete this form only when there are changes in medical status or capacities or change in release for work status. Medical Improvement MMI Any permanent partial impairment Yes No Possibly If you are qualified please rate impairment for your...

How to fill out WA F242-385-000

How to fill out WA F242-385-000

1. Obtain the form WA F242-385-000 from the Washington State Department of Labor and Industries website or your local office.
2. Fill in your personal information in the designated fields, including your name, address, and contact details.
3. Provide details about your employment, including your job title, employer's name, and contact information.
4. Describe the nature of your claim or request, including relevant dates and circumstances.
5. Include any supporting documentation as required, such as medical records or evidence related to your claim.
6. Review the form for accuracy and completeness before submission.
7. Submit the form by mail or electronically as instructed on the form.

Who needs WA F242-385-000?

1. Anyone who is filing a claim for workers' compensation benefits in Washington State may need WA F242-385-000.
2. Employees who have experienced workplace injuries or illnesses.
3. Employers filing for claims on behalf of their employees.

People Also Ask about

What is APF formula for respirator?

It is the ratio of the contaminant level outside the mask, compared to the contaminant level inside the mask. APF = Co / Ci = 10, 25, 50, 1000, etc.

What does APF 10 of respirator mean?

The Assigned Protection factor is the level of respiratory protection that a respirator is expected to provide employees in the workplace. An APF factor of 10 means that no more than one tenth of the contaminants to which a worker is exposed will leak into the mask.

What is APF medical?

Order and submit an Activity Prescription Form (APF)

What does APF mean?

The definitions of APFs and MUCs are: Assigned Protection Factor (APF) means the work- place level of respiratory protection that a respirator or class of respirators is expected to provide to em- ployees when the employer implements a continu- ing, effective respiratory protection program as specified by this section.

What does APF stand for in L&I?

Billing Code: 1073M (Guidance on back) Reminder: Send chart notes and reports to L&I or SIE/TPA as required. Complete this form only when there are changes in medical status or capacities, or change in release for work status. G.

What is APF value?

The atomic packing factor [A.P.F]: It can be defined as the ratio between the volume of the basic atoms of the unit cell (which represent the volume of all atoms in one unit cell ) to the volume of the unit cell it self.

How does L&I work in Washington state?

Washington is a no-fault state, so L&I will cover an allowable claim for a workplace injury regardless of who is at fault. This rule also applies to self‑insured employers.

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What is WA F242-385-000?

WA F242-385-000 is a tax form used in Washington State for reporting specific financial information related to businesses.

Who is required to file WA F242-385-000?

Businesses operating in Washington State that meet certain financial thresholds or industry classifications are required to file WA F242-385-000.

How to fill out WA F242-385-000?

To fill out WA F242-385-000, obtain the form from the Washington State Department of Revenue website, gather the necessary financial documents, and follow the instructions provided on the form to report your income and expenses.

What is the purpose of WA F242-385-000?

The purpose of WA F242-385-000 is to collect data for tax assessment and compliance purposes, ensuring businesses are correctly reporting their financial activities in Washington State.

What information must be reported on WA F242-385-000?

The information that must be reported on WA F242-385-000 includes gross income, deductions, expenses, and any other financial data relevant to the business's operations.