Form F800-115-000 Independent Medical Exam (Ime) - Travel & Wage Reimbursement Request - Washington

What Is Form F800‐115‐000?

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.

Form Details:

• Released on February 1, 2012;
• The latest edition provided by the Washington State Department of Labor and Industries;
• Easy to use and ready to print;
• Quick to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a printable version of Form F800‐115‐000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.