Download or print the Work Related Illness or Injury Supervisor Report Self-Insurer Accident Report (SIF-2) form, to be completed by you. View a sample form. Activity Prescription form, to …

Complete the Self-Insurer Accident Report (SIF-2) and WTD Accident/Incident/Near Miss report form and give them to your supervisor right away. Your claim number is shown in the upper …

If non-emergency medical treatment is necessary, both the supervisor and employee complete the packet forms, the “Work Related Illness or Injury Report Form” and the “Self-Insurer …

Looking for agency forms? King County employees should visit the forms page on our intranet. Disclosure Form to Report Lobbying – Standard Form LLL - Form will not open in browser. …

tration Form | Leave Request Form Instructions Employees should submit this completed request form to their agency human resource professional at least 30 calendar days before leave …

Ensure any employee injuries are documented in accordance with on-the-job (OJI) procedures and an SIF-2 form is completed if needed. 4.2.12 Assist the Safety Unit staff on scene, as …

SMALL CLAIMS PLAINTIFF’S PACKET Included in the Small Claims Plaintiff’s Packet, you will find the following documents:

Forms Declaration (PO 018) Declaration of Law Enforcement about Weapons Surrender Declaration of No Weapons to Surrender (civil-SP) Declaration of Protected Person about …

Home Public Health – Seattle & King County Children's health Child care health program Emergency preparedness Incident/Injury Log

All potential bloodborne pathogen exposures need to be reported as a Workers' Compensation Claim, regardless of whether there is a visit to a health care provider. The claims forms, …

Incident/Injury Log Date & Time of Incident/Injury Child’s Full Name Incident/Injury

This form is to be completed by employees participating in physical activities held on county property including: King County employees participating in Healthy Workplace Funding …

We create a check request after a settlement is approved and we receive the properly executed original release and W-9 form. A check request normally takes five to ten business days to …

Below are the forms most commonly used by the King County Superior Court. However, this is not a complete list of all forms used by the court or by individual judges. If you have questions …

to complete the county’s standard Leave Request Form. This is so King County can determine all eligible protections and laws available to the employee. The agency human resource …

Find King County Industrial Waste forms and permits downloads, current fees, and information about businesses that discharge wastewater into the King County sewer system. Information …

Apply for SSI at the Social Security Administration. Identify/develop funding resources (i.e. SSWI, DSHS/DVR funding options, Transition funding, KCDDECSD, or parent/family contribution) …

Search this document library for application materials, documents, and additional resources such as handouts and instructions for your building or land use permitting project. The application …

Document formatting If you choose to use any of the forms provided here in Microsoft Word format, please be advised that the appearance, page breaks, margins, fonts ...

Superior Court of Washington, County: Case No.: Important! Only court staff and some state agencies may see this form. The other party and his/her lawyer may not see this form unless a …