Provider Application and Notice for new firms

Provider Application and Notice for new firms - (Forms/Publications)
Document Information
  Get help downloading & printing files.   How to complete a fillable form.
Title Provider Application and Notice for new firms (A fillable form - 552 KB PDF)
Description

Complete this application and the StateWide Payee W-9 if you are applying for a firm Provider Number with L&I.

Detail
Form number F252-088-000
Availability
Online only. See document above to download.
Keywords vocational, vocational application, vocational provider
Languages English
Valid dates 01-2007
Contact information Vocational Resources

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.