Fill and Sign United States Legal Forms

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235709

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This form is used for applying for a new or additional payee for an IME provider account in Washington.

This form is used for reporting complaints of provider fraud in the state of Washington.

This Form is used for reporting the progress of physical medicine treatment in the state of Washington.

This form is used for updating and documenting changes in EMS (Emergency Medical Services) supervisors in the state of Washington.

This Form is used for dental assistants in Washington to apply for the endorsement to perform sealant and fluoride varnish procedures.

This form is used by the parent, legal guardian, or custodian of minor victims in Washington to request compensation for wage loss incurred as a result of the incident.

This form is used for applying for a Master Level Counselor Provider Account in Washington. It is the application for individuals who wish to provide counseling services at the master's level in the state.

This form is used for Washington state manufactured home installers to report their monthly certification tag activity.

This document is used for providing supplemental information regarding parentage as ordered by the court in the state of Washington.

This Form is used for attesting that a supervisor meets the qualifications required by the Department of Health in Washington state.

This document is used for attesting to qualifications based on experience in the state of Washington.

This document is for reporting reproductive health services provided by hospitals in Washington state. It is used to collect data for monitoring and improving reproductive healthcare.

This form is used for the Annual Vocational Firm Agreement in the state of Washington. It is a required form for vocational firms to renew their agreement with the state.

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