WAC 296-19A-193. What documentation must be submitted to the department for prejob accommodations?

(1) A vocational provider assisting the injured worker in applying for prejob accommodation assistance must submit to the department a prejob accommodation assistance application. Prejob accommodations assistance applications shall be submitted on a form prescribed by the department. (2) The prejob accommodation assistance application shall include, but is not limited to: (a) A document supporting the need for prejob accommodation; (b) A description of the prejob accommodation; (c) An itemized account of each expense to be incurred in the prejob accommodation; (d) An ownership agreement; (e) Physician's certification of medical necessity.