Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Washington State Department of Labor & Industries (L&I). Before sending anything sensitive, confirm the number and receiving department directly with Washington State Department of Labor & Industries (L&I), and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
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Washington State Department of Labor & Industries (L&I) fax number
(360) 902-6690
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Self-Insurance Section
Used for: Filing claims related to workplace injuries: ROA for L&I-insured patients and Providers Initial Report (PIR) for self-insured employers; fax to 360-902-6690 or 1-800-941-2976, or file online.
Fax destination details
- Department
- Self-Insurance Section
- Purpose
- Filing claims related to workplace injuries: ROA for L&I-insured patients and Providers Initial Report (PIR) for self-insured employers; fax to 360-902-6690 or 1-800-941-2976, or file online.
- Form
- ROA (Report of Industrial Injury or Occupational Disease) / PIR (Providers Initial Report) — ROA (Report of Industrial Injury or Occupational Disease) and PIR (Providers Initial Report)
- Address
- PO Box 44291, Olympia, WA 98504-4291
- Voice phone
- 360-902-6901
- Website
- Visit organization website
Before you send
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Submit ROA via online filing or fax (2-day deadline to fax to 1-800-941-2976 or 360-902-6690). If the patient is self-insured, submit PIR (F207-028-000).
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