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Home Health Services Billing Manual


Manual
F245-424-000
 
Miscellaneous Services Billing Manual


Manual
F245-431-000
 
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
 
Power of Attorney for Electronic Remittance Advice


Formulario
F248-355-000
 
Out of Country Provider Application


Formulario
F248-361-000

Otro(s) idioma(s):
Español
 
Medical Payment Guidance


Publicación
F248-366-000
 
Supplemental Agreement Third Party Pharmacy Provider


Formulario
F249-021-000
 
Medical Examiners' Handbook


Publicación
F252-001-000
 
Attending Doctor's Handbook


Publicación
F252-004-000
 
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
 
Workers' Comp Fraud Hurts YOU


Publicación
F262-279-000
 
Preferred Worker Status Request


Formulario
F280-023-000
 
Vocational Questionnaire/Work History


Formulario
F280-038-000

Otro(s) idioma(s):
Español
 
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
 
Referral to Labor and Industries /WorkSource Partnership Services


Formulario
F280-046-000
 
Cholinesterase Monitoring Health Care Provider Recommendations


Formulario
F413-070-000

Otro(s) idioma(s):
Español
Español
 
Recordkeeping and Reporting - WAC 296-27


Manual
F414-037-000
 
Elevator Continuing Education Provider / Instructor Application


Formulario
F621-078-000
 
Statement for Crime Victims Mental Health Services


Formulario
F800-025-000
 
Application to Reopen Crime Victim Claim Due to Worsening of Condition


Formulario
F800-031-000

Otro(s) idioma(s):
Español
 
Master Level Counselor Provider Account Application for Crime Victims


Formulario
F800-053-000
 
Crime Victims Statement for Pharmacy Services


Formulario
F800-058-000
 
Crime Victims Provider's Request for Adjustment


Formulario
F800-064-000
 
Statewide Payee Registration and W-9 Form Crime Victims


Formulario
F800-065-000
 
Crime Victims Statement for Home Nursing Services


Formulario
F800-070-000
 
Statement for Crime Victim Miscellaneous Services


Formulario
F800-076-000
 
Crime Victims Compensation Program Initial Response and Assessment: Form I


Formulario
F800-080-000
 
Safety Standards for Laundry Machinery and Operations WAC 296-303


Manual
F414-012-000
 
Crime Victims Compensation Program Initial Response and Assessment: Form II


Formulario
F800-081-000
 
Safety Standards for Logging Operations WAC 296-54


Manual
F414-016-000
 
Crime Victims Compensation Program Progress Note: Form III


Formulario
F800-082-000
 
Safety Standards for WAC 296-32, Telecommunications


Manual
F414-017-000
 
Safety Standards for Shipbuilding, Ship Repairing and Shipbreaking Chapter 296-304 WAC


Manual
F414-025-000
 
Crime Victims Compensation Program Treatment Report: Form IV


Formulario
F800-083-000
 
Safety Standards for WAC 296-45  -  Electrical Workers


Manual
F414-032-000
 
Crime Victims Compensation Program Treatment Report: Form V


Formulario
F800-084-000
 
Crime Victims Compensation Program Termination Report: Form VI


Formulario
F800-085-000
 
Safety Standards for Construction Work WAC 296-155


Manual
F414-033-000
 
Provider Change Form for Crime Victims Compensation


Formulario
F800-089-000
 
Safety Standards for WAC 296-56 - Longshore, Stevedore and Waterfront Related Operations


Manual
F414-034-000
 
Billing Guidelines for Sexual Assault Examinations: Crime Victims Compensation Program


Manual
F800-100-000
 
Safety Standards for Fire Fighters WAC 296-305


Manual
F414-036-000
 
Helping Providers Understand the Crime Victims Compensation Program


Publicación
F800-102-000
 
Safety Standards for Possession, Handling, and Use of Explosives WAC 296-52


Manual
F414-038-000
 
Mental Health Fee Schedule and Billing Guidelines


Manual
F800-105-000
 
Safety Standards for WAC 296-24 - General Safety and Health


Manual
F414-040-000
 
Crime Victims Direct Entry Billing Manual


Manual
F800-118-000
 
Self-Insurance Vocational Services Closing Cover Sheet


Formulario
F207-171-000
 
Safety Standards for WAC 296-62, General Occup Health


Manual
F414-042-000
 
Statement for Retraining and Job Modification Services


Formulario
F245-030-000

Otro(s) idioma(s):
Español
 
Safety Standards for WAC 296-59, Ski Area Facilities & Operations


Manual
F414-048-000
 
Transfer of Care Card


Formulario
F245-037-000

Otro(s) idioma(s):
Español
 
Safety Standards for Confined Spaces WAC 296-809


Manual
F414-068-000
 
Tarjeta para transferencia de caso


Formulario
F245-037-999

Otro(s) idioma(s):
Inglés
 
Safety Standards for WAC 296-67 - Process Safety Management of Highly Hazardous Chemicals


Manual
F414-090-000
 
Provider Account Application - Independent Medical Examiner (IME)


Formulario
F245-046-000
 
Submission of Provider Credentials for Interpretive Services


Formulario
F245-055-000
 
Safety Standards for WAC 296-835, Dip Tanks


Manual
F414-109-000
 
Safety Standards for WAC 296-832, Late Night Retail


Manual
F414-112-000
 
CMS 1500


Formulario
F245-127-000
 
Travel Reimbursement Request


Formulario
F245-145-000

Otro(s) idioma(s):
Español
 
Safety Standards for Railroad Clearances and Walkways in Private Rail Yards and Plants WAC 296-860


Manual
F414-113-000
 
Provider's Request for Adjustment


Formulario
F245-183-000
 
Safety Standards for WAC 296-878, Window Cleaning


Manual
F414-114-000
 
Safety Standards for WAC 296-841, Airborne Contaminants


Manual
F414-118-000
 
Job Modification Assistance Application


Formulario
F245-346-000

Otro(s) idioma(s):
Español
 
Safety Standards for WAC 296-842  - Respirators


Manual
F414-119-000
 
Vocational Training Plan Ownership Agreement for Tools and Equipment


Formulario
F245-351-000

Otro(s) idioma(s):
Español
 
Safety Standards for WAC 296-843, Hazardous Waste Operations


Manual
F414-120-000
 
Provider Payment Account Change Form


Formulario
F245-365-000
 
Safety Standards for WAC 296-829, Helicopters Used as Lifting Machines


Manual
F414-121-000
 
Safety Standards for WAC 296-802, Employee Medical and Exposure Record


Manual
F414-122-000
 
Safety Standards Lockout/Tagout WAC 296-803


Manual
F414-124-000
 
Electronic Billing Authorization


Formulario
F248-031-000
 
Statewide Payee Registration and W-9 Form


Formulario
F248-036-000
 
Safety Standards Machine Safety WAC 296-806


Manual
F414-125-000
 
Safety Standards for Forklifts and Other Powered Industrial Trucks WAC 296-863


Manual
F414-126-000
 
Medical Device Review Request


Formulario
F252-013-000
 
Safety Standsards for WAC 296-874 - Scaffolds


Manual
F414-128-000
 
Sample Format for Vocational Testing Report


Formulario
F252-051-000
 
Safety Standards for WAC 296-849, Benzene


Manual
F414-129-000
 
Sample Format for Vocational Evaluation Testing Plan


Formulario
F252-052-000
 
Safety Standards for WAC 296-848, Arsenic


Manual
F414-130-000
 
Intent to Hire Preferred Worker


Formulario
F280-010-000
 
Safety Standards for Ethylene Oxide WAC 296-855


Manual
F414-132-000
 
Safety Standards for Ladders, Portable and Fixed WAC 296-876


Manual
F414-133-000
 
Safety Standards for WAC 296-811, Fire Brigades


Manual
F414-134-000
 
Crime Victim Compensation Program Sexual Assault Exam Report


Formulario
F800-098-000
 
Self-Insurance Vocational Reporting Form


Formulario
F207-190-000
 
Safety Standards for Administrative Rules WAC 296-900


Manual
F414-136-000
 
Plan Room and Board Cost Encumbrance


Formulario
F245-372-000
 
Safety Standards for WAC 296-856 Formaldehyde


Manual
F414-143-000
 
Training Plan Cost Encumbrance


Formulario
F245-374-000
 
Safety Standards for WAC 296-901 - Global Harmonized System for Hazard Communication


Manual
F414-155-000
 
Transportation Cost Encumbrance


Formulario
F245-375-000
 
Time Encumbrance Form


Formulario
F245-376-000
 
Variance Application - Industrial Safety and Health


Formulario
F414-157-000
 
Plan Development Quality Assurance Review Form


Formulario
F280-007-000
 
Assessment Eligible Quality Assurance Review Form


Formulario
F280-008-000
 
Safety and Health Discrimination Complaint


Formulario
F416-011-000

Otro(s) idioma(s):
Español
 
Carrying Out Your Vocational Plan: Your Rights and Responsibilities During Plan Implementation


Publicación
F280-019-000

Otro(s) idioma(s):
Español
 
Job Safety and Health Law / Ley de Seguridad y Salud en el Trabajo (English/español)


Cartel
F416-081-909
 
Option 2 Vocational Benefits Training Enrollment Application and Verification


Formulario
F280-024-000

Otro(s) idioma(s):
Inglés/Español
 
Pre-Inspection Checklist for Hot Water Heating or Hot Water Supply Boilers


Checklist
F620-050-000
 
Option 2 Vocational Benefits Training Enrollment Application/Solicitud y verificación del registro para capacitación de beneficios vocacionales opción 2 (English/español)


Formulario
F280-024-909

Otro(s) idioma(s):
Inglés
 
OJT Information Request and Recommendation form


Formulario
F280-032-000
 





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