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Washington Vocational Dispute Form

Washington Vocational Dispute Form

Category:

Workers Compensation - Official

State:

Washington

Control #:

WA-SKU-4046

Format:

Instant download

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Public form

Description

Vocational Dispute Form
Washington Vocational Dispute Forms are documents used to file a formal dispute with the Washington State Department of Labor and Industries regarding vocational rehabilitation services. The forms are available in two varieties: (1) a Request for Appeal of an Initial Determination, and (2) a Request for Appeal of a Final Determination. The Request for Appeal of an Initial Determination allows an individual to appeal their initial determination of eligibility for vocational rehabilitation services, while the Request for Appeal of a Final Determination allows an individual to appeal the final determination of their vocational rehabilitation services. Both forms can be obtained from the Department of Labor and Industries' website and require the completion of personal information as well as a detailed description of the dispute.

Washington Vocational Dispute Forms are documents used to file a formal dispute with the Washington State Department of Labor and Industries regarding vocational rehabilitation services. The forms are available in two varieties: (1) a Request for Appeal of an Initial Determination, and (2) a Request for Appeal of a Final Determination. The Request for Appeal of an Initial Determination allows an individual to appeal their initial determination of eligibility for vocational rehabilitation services, while the Request for Appeal of a Final Determination allows an individual to appeal the final determination of their vocational rehabilitation services. Both forms can be obtained from the Department of Labor and Industries' website and require the completion of personal information as well as a detailed description of the dispute.

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The dispute form may be a useful guide, but is not required. We must receive your dispute within 15 days after you are notified of your right to dispute.There's a process you must follow if you want to win. To access the Vocational Rehabilitation Dispute form VR04, log into Online Services and choose File Forms, selecting it from the list. Send the "Request for Dispute Resolution" form to: Administrative Director Form RU-103 "Request for Dispute Resolution" and Form Filing Instructions. Send the completed dispute resolution form to: Vocational Rehabilitation (VR) Dispute Resolution Coordinator. 500 Summer St., NE, E-87. Agency at our toll-free number of 1-888-396-5041. Detailed filing instructions may be found under Claims Information.

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