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Form 5020 online Washington: What You Should Know

Please note that all online claims must come to our office. Contact information: General Information Email: Office of Inspector General at Mail:  Office of Inspector General Attn: Least and Worker Safety Section Washington, D.C. 20210, U.S.A. • Toll Free: • Federal Way Community Action Agency (FPGA) Call:, Fax: • Washington, D.C. Office of State Contractor Safety Program Telephone: • Fax: • Washington State Department of Labor & Industries Telephone: • Fax: • Customer Assistance Center (TTY) • Mail Drop Off & Post Office Box (DBC) (Toll Free): Fisheries and Pundit Toll Free: General information and general questions are answered by the Office of Inspector General on the website, through the following links, and by regular mail to: Office of Inspector General ATTN: Least and Worker Safety Section Attention: State Contractor Safety Program P.O. Box 84821 Olympia, WA 98 Attention: State Contractor Safety Program The following forms (the last two forms can be accessed via their respective tabs): Worker's Compensation — Report: Form 5020.pdf (requires a scanned copy of the worker's insurance company's bill. Use of  an electronic report of accident is available. The report is also available online via My L&I; Worker's Compensation — Report by Claim Letter requires a scanned copy of the worker's insurance bill; this can be completed and emailed (do not mail) to  Report to Labor & Industries — Office of Inspector General. Online via our Least tool.

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