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Pre-Job Modification Accommodation Assistant Application - Washington

Pre-Job Modification Accommodation Assistant Application - Washington 2025

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The document is a Pre-Job Accommodation Assistance Application from the Department of Labor and Industries, outlining the process for workers with state fund claims to request necessary equipment or modifications for job retraining or performance. It specifies eligibility criteria, required attachments, and includes a section for vendor information and cost itemization. Additionally, it contains an ownership agreement detailing conditions under which the requested items are owned by the worker or remain with L&I.

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