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Home Health Services Billing Manual


Manual
F245-424-000
 
Department of Labor and Industries Home Modification Acknowledgement of Responsibilities


Formulario
F247-003-000

Otro(s) idioma(s):
Español
 
Statement for Home Nursing Services


Formulario
F248-160-000
 
Home Modification for Workers with Catastrophic Injuries


Publicación
F252-060-000
 
Home Modification for Workers with Catastrophic Injuries - Questions and Answers for Contractors


Publicación
F252-061-000
 
Electrical Safety Tips for Your Home: Protect Your Family and Your Property


Publicación
F500-115-000
 
Manufactured/Mobile Home Permit Application


Formulario
F622-036-000
 
Flood Damaged Manufactured Home Checklist


Checklist
F622-040-000
 
Is it a Manufactured / Mobile Home?


Formulario
F622-043-000
 
Your Manufactured/Mobile Home


Publicación
F622-049-000

Otro(s) idioma(s):
Español
 
Homeowners Manufactured / Mobile Home Variance Request


Formulario
F622-054-000
 
Decertification of Manufactured and Mobile Homes


Formulario
F622-063-000
 
Manufactured Home Installer Certification Tag Order form


Formulario
F622-077-000
 
Manufactured Home Installer's Monthly Certification Tag Report


Formulario
F622-078-000
 
Manufactured Home Installer Certification Tag Transfer Request form


Formulario
F622-079-000
 
Minimum Header Structural Requirements for Manufactured Home Alterations


Formulario
F622-080-000
 
Protect My Home Hire Smart Worksheet


Publicación
F625-111-000
 
Crime Victims Statement for Home Nursing Services


Formulario
F800-070-000
 
Report of Accident (ROA) Workplace Injury, Accident or Occupational Disease


Formulario
F242-130-000

Otro(s) idioma(s):
Español
 
Statement for Compound Prescription


Formulario
F245-010-000
 
Statement for Miscellaneous Services


Formulario
F245-072-000

Otro(s) idioma(s):
Español
 
PT/OT Referral Form


Formulario
F252-099-000
 
Alteration Fire Safety Pre-Inspection Checklist


Checklist
F622-011-000

Otro(s) idioma(s):
Español
 
Roof Affidavit and Structural Inspection Request


Formulario
F622-076-000
 
Contractor Complaint Form


Formulario
F625-033-000
 
Construction Lien Notice


Formulario
F625-054-000
 
Hiring a Plumber? Hire Smart!


Publicación
F627-044-000
 
Crime Victims' Statement for Compound Prescription


Formulario
F800-067-000
 
Statement for Crime Victim Miscellaneous Services


Formulario
F800-076-000
 
Keep Your Water Heater Safe


Publicación
F620-048-000
 
Lista de comprobación para la preinspección de seguridad contra incendios


Formulario
F622-011-999

Otro(s) idioma(s):
Inglés
 
Electric / Gas Conversion Pre-Inspection Checklist


Checklist
F622-013-000
 
Air Conditioner/Heat Pump Pre-Inspection Checklist and Start Up Affidavit


Formulario
F622-014-000
 
Wood / Pellet Stove / Fireplace Pre-Inspection Checklist


Checklist
F622-015-000
 
Low Voltage Fire / Intrusion Alarm Checklist


Checklist
F622-038-000
 
Alteration Re-Roofing for Low Slope Roofing


Checklist
F622-039-000
 
Steel or Wrought-Iron Gas Line Pre-Inspection Checklist


Checklist
F622-044-000
 
Gas Room Heaters Pre-Inspection Checklist


Checklist
F622-045-000
 
Copper Tubing Gas Line Pre-Inspection Checklist


Checklist
F622-046-000
 
Gas Piping Test Affidavit


Formulario
F622-048-000
 
Alteration Polybutylene Re-Pipe Pre-Inspection Checklist


Checklist
F622-053-000
 
Plan Approval Request - Factory Built Structures and Commercial Coaches


Formulario
F623-006-000
 
What You Should Know About Hiring a Contractor, Remodeler, or Handyman


Publicación
F625-084-000

Otro(s) idioma(s):
Español
 
What to Do if You Want to File Suit Against Your Construction Contractor


Publicación
F625-088-000
 
Electrical Work on Residential Property: What You Should Know Before Work Begins


Publicación
F500-078-000
 
Registered Contractor Card


Formulario
F625-069-000
 
Casas prefabricadas y móviles: lo que los dueños de casas y contratistas deben saber al modificar una vivienda


Publicación
F622-049-999

Otro(s) idioma(s):
Inglés
 
Structural Inspection Request Questionnaire


Formulario
F622-075-000
 
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
 





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