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Filing an online Claim Information Document_Everett.pdf
Instructions to file L&I claim online
process to be completed by employees who require medical attention due to an on-the-job injury.
Handle: Document-47241
Owner: Hanson, Jean (User-867, 07736:EVERETT)DS
Thursday, August 8, 2013 11:07:29 AM PDT
Tuesday, January 5, 2016 07:56:49 AM PST
Modified By:
Locked By:
  • HAND OUT ONLY WHEN MEDICAL ATTENTION IS REQUIRED
L&I Claims are now filed online! Workers can find more information at www.NetworkInfo.Lni.wa.govHave questions? Also, if you do click on the red “X” you will have to start the process over as the system doesnot save the information until the claim is actually submitted.
  • Employees who need assistance with the process can call Cris Bosket at 425.385.4116 or Stephanie North at
425.385.4115.
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
Filing an online Claim Information Document_Everett1.pdf
No
4
309372
No
Appears In: EMPLOYEE ON-THE-JOB INJURY FORMS
Preferred Version: Filing an online Claim Information Document_Everett.pdf