PDFWAC 296-15-400
Self-insured workers' rights and obligations.
How must a self-insurer notify its workers of their rights and obligations under the industrial insurance laws?
Self-insurers must notify workers of their industrial insurance rights and obligations at the following times:
(1) Within thirty days of hire, provide a form substantially similar to the one page Workers' Compensation Filing Information L&I form F207-155-000, or if authorized by the worker provide a link to the form giving electronic access online in lieu of a paper form.
(2) When a worker files a claim, provide the following information in writing:
(a) The current edition of the department's pamphlet P207-085-000, A Guide to Workers' Compensation Benefits for Employees of Self-Insured Businesses, or if authorized by the worker provide a link to the pamphlet giving electronic access online in lieu of a paper pamphlet; and
(b) The name, address, and phone number of the person or organization handling the worker's claim.