Form F249-006-111 Third Party Recovery Worksheet - Washington

What Is Form F249-006-111?

This is a legal form that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F249-006-111?
A: Form F249-006-111 is the Third Party Recovery Worksheet for the state of Washington.

Q: What is the purpose of Form F249-006-111?
A: The purpose of Form F249-006-111 is to track potential third-party recovery for medical expenses incurred by the injured party.

Q: Who should use Form F249-006-111?
A: Form F249-006-111 should be used by individuals or entities that have paid for medical expenses on behalf of an injured party and are seeking reimbursement from a responsible third party.

Q: How do I fill out Form F249-006-111?
A: To fill out Form F249-006-111, provide the requested information about the injured party, details of the incident, and any known third parties who may be responsible for the injury.

Q: Is Form F249-006-111 specific to Washington State?
A: Yes, Form F249-006-111 is specific to the state of Washington.

Q: Is there a deadline for submitting Form F249-006-111?
A: The deadline for submitting Form F249-006-111 may vary. It is advisable to consult the Washington State Department of Labor and Industries or the relevant entity for specific deadline information.

Q: Are there any fees associated with Form F249-006-111?
A: There are no fees associated with submitting Form F249-006-111.

Q: What should I do after submitting Form F249-006-111?
A: After submitting Form F249-006-111, you should keep copies for your records and follow any instructions provided by the Washington State Department of Labor and Industries or the relevant entity.