Washington State Department of Labor & Industries (workers compensation)

Records, fax and other contacts

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fax other

Chart notes, reports and claim correspondence (not bills) - fax and mail

Official page read

Phone

No phone listed for this route

Fax

360-902-4567

Chart notes and reports (not bills)

Published hours

Not published in this record

Product, plan and location

workers comp
Washington

Mailing address

Department of Labor & Industries PO Box 44291 Olympia, WA 98504-4291

Correspondence, reports and chart notes (not bills)

L&I's billing page: fax or mail correspondence, reports and chart notes (SOAPER format) and claim-related documents other than bills. Never fax bills. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

View source ↗ · Source checked 2026-10-25

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fax other

Report of Industrial Injury or Occupational Disease (provider form F242-130-000) - fax and mail

Official page read

Phone

No phone listed for this route

Fax

800-941-2976

Report of Industrial Injury (F242-130-000); alternate fax 360-902-6690

Published hours

Not published in this record

Product, plan and location

workers comp
Washington

Mailing address

Department of Labor & Industries PO Box 44299 Olympia, WA 98504-4299

Report of Industrial Injury (F242-130-000)

Providers send the Report of Industrial Injury or Occupational Disease (F242-130-000), due within 5 days of the first visit, to this fax (360-902-6690 is the alternate fax) or P.O. box. This is injury reporting by the provider, not bill submission. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

View source ↗ · Source checked 2026-10-25

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