Do you wish to file a complaint with L&I about an employer you believe is taking
advantage of the Washington State workers' compensation system? Let us know by completing this form.
We take action against fraud because it increases costs for everyone.
Provide as much information as you can. We will need it to pursue your complaint.
L&I may need to contact you to pursue this fraud complaint. If you can, complete
the contact information below.
Note: We are occasionally required by law to disclose contact information.
If you include your personal contact information in this fraud report and wish to remain anonymous,
read and answer the following statement:I
am requesting the Washington State Department of Labor and Industries to withhold
disclosure of my identity regarding this fraud report because I fear disclosure
would endanger life, physical safety, or property, pursuant to
Do you wish to remain anonymous?
(Examples: names, contact phone numbers,
SSN, length of employment, e-mail addresses, web sites, license plate numbers, etc.)
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