Obtenga un formulario o publicación

Escriba todo el título del documento o una parte o el número:     

Formularios más populares  |  Carteles requeridos del lugar de trabajo  |  Formularios y publicaciones en español


Resultados para: HCFA guide
Vea:    Ordenar por:       
Título:

Búsqueda de palabras clave:  
Tipo:

Attending Provider's Return-to-Work Desk Reference


Publicación
F200-002-000
 
Provider's Initial Report (PIR)


Formulario
F207-028-000
 
Transfer of Attending Provider Form for Self Insured Workers


Formulario
F207-114-000

Otro(s) idioma(s):
Español
 
Self-Insurance Medical Provider Billing Dispute form


Formulario
F207-207-000
 
3 Things to Know about L&I's Medical Provider Network


Publicación
F242-406-000

Otro(s) idioma(s):
Español
 
Provider Account Application - Independent Medical Examiner (IME)


Formulario
F245-046-000
 
Independent Medical Examination (IME) Provider Exam Sites


Formulario
F245-047-000
 
Submission of Provider Credentials for Interpretive Services


Formulario
F245-055-000
 
Provider's Request for Adjustment


Formulario
F245-183-000
 
Provider Payment Account Change Form


Formulario
F245-365-000
 
Provider Network Agreement


Formulario
F245-397-000
 
Quick Reference Card for Providers


Publicación
F245-414-000
 
Physical/Occupational/Massage Therapy Provider Hotline Service Authorization Request


Formulario
F245-417-000
 
Hearing Aid Repair/Durable Medical Equipment Provider Hotline Service Authorization Request


Formulario
F245-418-000
 
Provider General Billing Manual


Manual
F245-432-000
 
Non-Network Provider Application


Formulario
F248-011-000
 
Hotline Tips for Medical Services Providers


Publicación
F248-040-000
 
General Provider Billing Manual


Manual
F248-100-000
 
Payroll Service Provider - Quarterly Reporting Bulk Filing Enrollment Form


Formulario
F248-343-000
 
Out of Country Provider Application


Formulario
F248-361-000

Otro(s) idioma(s):
Español
 
Supplemental Agreement Third Party Pharmacy Provider


Formulario
F249-021-000
 
Individual Vocational Provider Account Change Form


Formulario
F252-021-000
 
Firm Vocational Provider Account Change


Formulario
F252-022-000
 
Vocational Provider Application


Formulario
F252-088-000
 
On-The-Job Training (OJT) Agreement for Vocational Providers


Formulario
F280-039-000
 
Non-accredited or Unlicensed Training Provider Application Supplemental Requirements


Formulario
F280-045-000
 
Cholinesterase Monitoring Health Care Provider Recommendations


Formulario
F413-070-000

Otro(s) idioma(s):
Español
Español
 
Elevator Continuing Education Provider / Instructor Application


Formulario
F621-078-000
 
Master Level Counselor Provider Account Application for Crime Victims


Formulario
F800-053-000
 
Crime Victims Provider's Request for Adjustment


Formulario
F800-064-000
 
Provider Change Form for Crime Victims Compensation


Formulario
F800-089-000
 
Helping Providers Understand the Crime Victims Compensation Program


Publicación
F800-102-000
 
Need a Doctor?


Publicación
F160-006-000

Otro(s) idioma(s):
Español
 
Application to Reopen Claim Due to Worsening Condition


Formulario
F242-079-000

Otro(s) idioma(s):
Inglés/Español
Español
 
Report of Accident (ROA) Workplace Injury, Accident or Occupational Disease


Formulario
F242-130-000

Otro(s) idioma(s):
Español
 
Cancellation of Elective Coverage - Sole Proprietors/Partner, Member of Limited Liability Company (LLC), Member of Limited Liability Partnership (LLP) or For-Profit Corporate Officers


Formulario
F213-004-000
 
Notice of Occupational Disease or Infection


Formulario
F242-243-000
 
Activity Prescription Form (APF)


Formulario
F242-385-000
 
Application for Elective Coverage - Sole Proprietor, Partners, For-Profit Corporate Officers, or Member/Managers of Limited Liability Company (LLC)


Formulario
F213-042-000
 
Preauthorization Request for Services for State Fund Workers' Compensation Patients


Formulario
F242-397-000
 
Limited Liability Companies (LLC)


Publicación
F214-021-000
 
Avoid Liability for Your Subcontractor's Unpaid Workers' Comp Premiums


Publicación
F262-262-000

Otro(s) idioma(s):
Español
 
Avoid Liability for Your Farm Labor Contractor's Unpaid Debits / Evite su obligación por las deudas no pagadas de su contratista de trabajadores agrícolas (English/español)


Publicación
F700-154-909
 
Resume Cover Sheet


Formulario
F242-418-000
 
Stay at Work Exam Room Card


Publicación
F243-009-000
 
Performance Based Physical Capacities Evaluation


Formulario
F245-023-000
 
Statement for Retraining and Job Modification Services


Formulario
F245-030-000

Otro(s) idioma(s):
Español
 
Statement for Miscellaneous Services


Formulario
F245-072-000

Otro(s) idioma(s):
Español
 
Construction Contractors - Steps for Success


Publicación
F625-115-000

Otro(s) idioma(s):
Español
 
Washington State Deduction Laws


Formulario
F700-097-000
 
Statement for Pharmacy Services


Formulario
F245-100-000
 
CMS 1500


Formulario
F245-127-000
 
Know What to Expect: How Recoveries and Settlements May Impact Your Crime Victim Claim


Publicación
F800-074-000
 
Agreement of Assumption and Guarantee of Workers' Compensation Liabilities - Application of Certification


Formulario
F207-040-000
 
Pre-Job Accommodation Assistance Application


Formulario
F245-350-000

Otro(s) idioma(s):
Español
 
Agreement of Assumption and Guarantee of Workers' Compensation Liabilities (Certified Self-Insurer)


Formulario
F207-040-001
 
Self-Insurer's Bond - Existing Liabilities


Formulario
F207-068-000
 
Certificate of Coverage - SAMPLE ONLY


Formulario
F211-141-000

Otro(s) idioma(s):
Español
 
Certificado de cobertura - ejemplo


Formulario
F211-141-999

Otro(s) idioma(s):
Inglés
 
F245-392-000 Resource Utilization Group (RUG) Residential Care Services for L&I Injured Workers (In place of MDS 3.0 beginning October 1, 2010.)


Formulario
F245-392-000
 





End of main content, page footer follows.

Access Washington en Español

© Depto. de Labor e Industrias del estado de Washington. El uso de este sitio del Internet está sujeto a las leyes del estado de Washington.