(ACH) Direct Deposit of Wages - (L&I), Washington State - lni wa 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Complete the upper portion of the form by entering your name, employee ID number, and agency details. Ensure you sign and date the form.
  3. Have your financial institution complete the lower portion or attach a voided check for verification.
  4. Select whether you want your wages deposited into a checking account, savings account, or via a pay card. Make sure to provide accurate banking information.
  5. Review all entered information for accuracy before submitting. Once confirmed, deliver the completed form to your Payroll Office.
  6. Ensure that you keep a copy of the completed form for your records.

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In Washington state, you can file a Washington state LI claim through their website via the File Fast tool, by calling the LI office at 877.561. 3453, or at your doctors office. If all goes as planned, your claim will be accepted, and you will receive the benefits to which you are entitled.
Youll receive 60% to 75% of that income, depending on your marital status and number of dependents. However, theres a minimum and maximum for time-loss benefits that changes annually, based on a percentage of the statewide average monthly wages for the previous calendar year.
Get ready to calculate your LI payroll deductions . Employers are responsible for paying all premiums due. However, in Washington State workers may also pay a share of the total hourly rate through payroll deduction.
Payment options Have your credit card or checking account information available. We accept Visa, Mastercard, Discover and American Express credit cards and electronic checks. No sign-up You will not need to sign up for an online LI profile to complete your payment.
The benefit amount is 60 to 75% of the wage you were earning, depending on how many dependents you have. The minimum and maximum LI can pay is set by the state legislature. You may have better options available - ask your employer if there are other jobs you can do to earn your wage or salary while you recover.
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What is LI? The Washington State Department of Labor Industries (LI) is a state governmental agency that regulates and enforces industrial insurance benefits to workers who are injured on the job, crime victims compensation, work-place safety, wage and hour issues, and leave benefits.

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