CMS 1500

Document Information
  How to complete a fillable form.
Title CMS 1500 (English)
Document number F245-127-000
Document type Form
How to get this document
Check for alternate languages of this document
Valid dates 02/2012
Contact information Claims for Job Injuries , Managing Injured Workers' Claims
Websites For Medical Provider

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.

Help us improve