SharedWork forms and media library
Plan application and program set-up
- Employer application (pdf)
- Employee List (xls)
- Employer application with employee list (pdf) - For businesses that do not have Excel
- Employer representative responsibilities (pdf)
- Employee participation packet (pdf)
- Additional employee list pages (pdf)
Claim calculators and calendars
- Employee payment calculation chart (pdf, English)
- Employee payment calculation chart (pdf, Spanish)
- Employee earnings deduction chart (pdf)
- Employee claims calendar (pdf)
Employee instructional videos
Employer forms
- Weekly claim correction (pdf)|
- Employee removal (pdf) |
- Employee add (pdf)
- Reviewing a payments report
- SharedWork Poster
Audio appearances
- Radio advertisement:
- South Central Works podcast, produced by the South Central Workforce Council:
- Talent Magnet podcast, produced by the Pacific Mountain Workforce Development Council:
Additional publications and information
- Washington SharedWork laws (Washington Chapter 50.60 RCW)
- Washington SharedWork regulations (Washington Chapter 192-250 WAC)
indicates video instruction
Where to send:
Employee forms
Please fax these to 800-301-1796. They should not be emailed or uploaded on the website.
- Employee applications
- Weekly claim
- Weekly claim correction
Plan forms
Please upload or fax these to 800-701-7754.
- Plan applications
- Employee add
- Employee removal
- All other documents not listed in employee forms above
The correct fax number is listed on the top right hand corner of each form. If an old form is used or a form is sent to the incorrect number, there may be a delay in payments to your participants.
(back to SharedWork Program home)