Report Employer Premium Fraud
in Washington State
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.
(Examples: names, contact phone numbers,
SSN, length of employment, email addresses,
web sites, license plate numbers, etc.)
(Examples: general contractor name, prime contractor names, phone numbers, etc.)
(Examples: addresses, phone numbers, other contact names, directions, landmarks, etc.)
(Examples: Your preferred method of contact,
alternative contact information, other
observations, etc.)
(Examples: Hazardous materials, safety comments for auditor, unsafe workplace, etc.)
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