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Get the free Work Status Form (F242-052-000) - L&I - WA.gov

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Work Status Form Employee Name:Occupation:Employer Name: ___Date of Injury: ___Employee is released to return to Regular Work on:(date)Employee is released to Transitional (Modified) Work on:(date)Employee
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How to fill out work status form f242-052-000

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How to fill out work status form f242-052-000

01
Obtain a copy of the work status form f242-052-000 from your employer or HR department.
02
Fill in your personal information such as name, employee ID, and contact details.
03
Provide details about your current work status including if you are full-time, part-time, temporary, or on leave.
04
Include any relevant dates such as the start date of your current status or the expected end date of your leave.
05
Sign and date the form to certify the information provided.

Who needs work status form f242-052-000?

01
Employees who need to update their work status with their employer.
02
Employers who need to track and document changes in their employees' work status.
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Work status form f242-052-000 is a document used to report the current employment status of an individual.
Employers are required to file work status form f242-052-000 for each employee.
Work status form f242-052-000 can be filled out by providing information on the employee's current employment status, such as full-time, part-time, or temporary.
The purpose of work status form f242-052-000 is to keep track of the employment status of employees for administrative and compliance purposes.
Information such as the employee's name, employee ID, current employment status, and effective date of the status change must be reported on work status form f242-052-000.
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