Washington Affidavit for Time Loss Compensation Benefits is a sworn statement submitted by an injured worker who is applying for time loss compensation benefits in the state of Washington. This affidavit is used to prove that the worker has suffered a work-related injury, and that the worker is entitled to receive time-loss compensation benefits as a result. The affidavit must include the date of injury, the cause of injury, the date of disability, and the estimated period of disability. It must also include a statement from the injured worker's physician that confirms the injury and the estimated period of disability. There are two types of Washington Affidavit for Time Loss Compensation Benefits: Injured Worker's Affidavit and Employer's Affidavit. The Injured Worker's Affidavit is submitted by the injured worker and must include the date of injury, the cause of injury, the date of disability, and the estimated period of disability. The Employer's Affidavit is submitted by the employer and must include a statement from the employer that confirms the injury and the estimated period of disability.
Washington Affidavit for Time Loss Compensation Benefits
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How to fill out Washington Affidavit For Time Loss Compensation Benefits?
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