Independent Medical Examination Fax Cover Sheet

Independent Medical Examination Fax Cover Sheet - (Forms/Publications)
Document Information
  Get help downloading & printing files.   How to complete a fillable form.
Title Independent Medical Examination Fax Cover Sheet (A fillable form - 93 KB PDF)
Description Independent Medical Examination Fax Cover Sheet
Detail
Form number F245-383-000
Availability
Order it
Keywords cover, fax, fax, IME, independent, independent medical examiner, independent medical exams
Languages English
Valid dates 12-2008
Contact information
Web pages

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.