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Fax completed form to: 3609024567Or mail completed form to: PO Box 44291 Olympia WA 985044291 Job ModificationAssistance ApplicationWorker Name Job TitleClaim Number(s)Submit this application if all
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How to fill out job modification assistance application

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How to fill out job modification assistance application

01
Start by obtaining a copy of the job modification assistance application form.
02
Read the instructions and requirements thoroughly before proceeding.
03
Gather all the necessary documents and information that are requested in the application form.
04
Fill out the personal details section, including your name, address, contact information, and social security number.
05
Provide information about your current job, including the employer's name, address, and contact information.
06
Explain the reason for requesting job modification assistance and the specific modifications you require.
07
Include any supporting documents, such as medical reports or recommendations from healthcare professionals.
08
Review the completed application form for accuracy and completeness.
09
Sign and date the application form.
10
Submit the application form and all the required documents to the designated authority or organization.

Who needs job modification assistance application?

01
Individuals who require job modification assistance due to physical or mental disabilities.
02
Employees who need workplace accommodations to perform their job tasks effectively.
03
Workers who have sustained work-related injuries and need modifications to their job duties or environment.
04
Individuals seeking assistance to make their workplace accessible and inclusive for people with disabilities.
05
Employees who are experiencing difficulties in performing their job duties due to health conditions or impairments.

What is Job Modification Assistance Application (F245-346-000) - lni wa Form?

The Job Modification Assistance Application (F245-346-000) - lni wa is a fillable form in MS Word extension that should be submitted to the required address to provide certain info. It must be filled-out and signed, which can be done manually, or via a certain software e. g. PDFfiller. It helps to fill out any PDF or Word document directly from your browser (no software requred), customize it according to your needs and put a legally-binding electronic signature. Right after completion, user can send the Job Modification Assistance Application (F245-346-000) - lni wa to the relevant receiver, or multiple recipients via email or fax. The blank is printable as well because of PDFfiller feature and options proposed for printing out adjustment. In both electronic and in hard copy, your form will have a clean and professional outlook. Also you can save it as the template for later, so you don't need to create a new file over and over. All you need to do is to amend the ready sample.

Template Job Modification Assistance Application (F245-346-000) - lni wa instructions

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Job modification assistance application is a request for assistance in modifying a job to accommodate an employee's needs.
Any employee who requires a job modification to perform their duties is required to file the job modification assistance application.
To fill out the job modification assistance application, the employee must provide detailed information about their job duties, the modifications needed, and any supporting documentation.
The purpose of the job modification assistance application is to ensure that employees with specific needs are able to perform their job duties effectively.
The job modification assistance application must include information about the employee's current job duties, the modifications needed, and any relevant medical documentation.
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