Hearing Impairment Calculation Worksheet

Document Information
  How to complete a fillable form.
Title Hearing Impairment Calculation Worksheet

Used by the attending doctor to determine hearing loss.

Document number F252-007-000
How to get this document
Alt Language(s)
Valid dates 09/2000
Contact information Claims for Job Injuries, Managing Injured Workers' Claims, Treating Injured Workers
Websites For Medical Providers, Workers' Comp Claims

End of main content, page footer follows.

Access Washington official state portal

  © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.