Free Help for Injured Workers of Self-Insured Businesses - Washington

Help for Injured Workers of Self-Insured Businesses
Office of the Ombudsman
The Office of the Ombudsman is an advocate for injured workers of selfinsured employers. If you have issues related to your workers' compensation claim, we will work with you to resolve them.

We provide information
We answer your questions and explain your rights and responsibilities under industrial insurance law.

We investigate complaints about workers' compensation issues
We work to ensure that you receive the appropriate benefits under the law.

Office of the Self-Insured Ombudsman Department of Labor & Industries 7273 Linderson Way SW PO Box 44001 Olympia WA 98504-4001 1-888-317-0493 Fax 360-902-4202

Workers' Compensation Claim Information
Name: _____________________________________ Claim number: _______________________________ Date of injury: _______________________________ Claim Manager: ______________________________
All medical providers should submit paperwork, reports, and billings to the self-insured employer or third-party administrator.

What if I just need information?
Call us. We are here to answer your questions.

How do I file a complaint?
You can file a complaint by phone or in writing. If you file a complaint in writing, be sure to include your claim number and contact information.

What happens after I file a complaint?
We will review and investigate your complaint to determine if further information is required. We may need to contact your health-care providers or your employer to resolve the issues. We will involve you in the process.

Confidentiality
Our files and records are confidential. We will not disclose specific information about your complaint without your authorization.

We cannot provide legal representation
Most issues can be resolved informally. If you need legal representation, we can provide a list of attorneys specializing in workers' compensation law.

n The Ombudsman for Self-Insured Workers

is appointed by the Governor to serve as an independent advocate for the rights of injured workers of self-insured employers.

Other formats for persons with disabilities are available. Call 1-800-547-8367. TDD users call 360-902-5797. PUBLICATION F207-201-000 [06-2009]

Office of the Self-Insured Ombudsman Department of Labor & Industries 7273 Linderson Way SW PO Box 44001 Olympia WA 98504-4001 1-888-317-0493 Fax 360-902-4202