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Select 'Yes' if you prefer to remain anonymous. If you prefer to remain anonymous, but have additional information to share with L&I about the complaint, submit this form, note the referral number and call 1-888-811-5974 and select Option 1.
Select 'No' to provide your contact information. If you do provide your name and contact information, under Washington's Public Records Act, L&I must provide it to anyone requesting it related to this form.
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