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[SIVRF] [SI] [L&I Form] Updated Self-Insurance Vocational Reporting Form (SIVRF)

Updated over 9 months ago

*This is an L&I website "Latest News for Vocational Providers" post from 12/23/2024.*

Updated Self-Insurance Vocational Reporting Form (SIVRF)

Dec. 23, 2024

L&I’s Self-Insurance Vocational Reporting Form (SIVRF) has been updated. This form is a cover sheet for self-insured vocational recommendations submitted to the department. We ask vocational rehabilitation counselors (VRCs) to help self-insured employers complete the updated form.

What’s new?

  • Added new section for Skill Enhancement Training (SET) requests.

  • Removed RTW1 and ATW1 outcomes.

  • Added descriptions to clarify when to submit the form.

  • New entry field includes the date an Option 2 selection was received.

Please use the updated form immediately. Prior versions of the form will be accepted until March 31, 2025.

Questions? Email [email protected].


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