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The Work Status Form is a document required by the Department of Labor and Industries for individuals to report their work status following a work-related injury or disease. It must be completed within 14 days of receipt and includes sections for detailing missed work, current employment status, benefits received, and any changes in personal circumstances. Accurate completion is essential to avoid delays in benefit payments.

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See more worker verification versions

We've got more versions of the worker verification form. Select the right worker verification version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (97 Votes)
2014	4.1 Satisfied (35 Votes)
2008	4.9 Satisfied (254 Votes)
2004	4 Satisfied (59 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can I verify my own employment history?

Those requesting employment or salary verification may access THE WORK NUMBER online at using DOLs code: 10915. You may also contact the service directly via phone at: 1-800-367-5690.

Can I run my own employment verification?

Use the E-Verify search tool to find employers who are currently enrolled in E-Verify. Your search will display the following information: Employer name The name the employer used when they enrolled in E-Verify. This can be the business legal name, a trade name, or an abbreviation.

Can I write my own proof of employment?

If the letter has the sole purpose of proving employment, you could ask your accountant to write it for you (certifying you are working for the company you own) or write it yourself on company letterhead.

How do I verify someones place of employment?

Self Check lets you confirm that your employment eligibility information is correct by checking it against the same databases E-Verify uses when employers create a case. If Self Check finds a data mismatch, you will receive instructions to correct your records with the appropriate federal agency.

What is work verification?

Check their resume or LinkedIn profile You can use this information to verify their work history and even reach out to their former employers to confirm their employment. However, keep in mind that some people may exaggerate or even lie about their work experience on their resume or LinkedIn profile.

Can I run an employment verification on myself?

Yes, you can run a background check on yourself, and its actually a good idea to see if anythings showing up that might be affecting your chances.

Can you run an E-Verify on yourself?

of the page to view the Previews Page Index. E-Verify Self Check (Self Check) is a voluntary, fast, free and simple service that allows you to check your employment eligibility in the United States.

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