Preauthorization Request for Services for State Fund Workers' Compensation Patients


Document Information
  How to complete a fillable form.
Title Preauthorization Request for Services for State Fund Workers' Compensation Patients
Document number F242-397-000
How to get this document
Alt Language(s)
Valid dates 01/2014
Contact information Managing Injured Workers' Claims
Websites To find out what services must be authorized

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.