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Form F207-020-111 Self-insured Employers' Medical Only Claim Closure Order and Notice - Washington
What Is Form F207-020-111?
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 F207-020-111?
A: Form F207-020-111 is the Self-insured Employers' Medical Only Claim Closure Order and Notice.
Q: Who is the intended audience for Form F207-020-111?
A: The intended audience for Form F207-020-111 is self-insured employers.
Q: What is the purpose of Form F207-020-111?
A: The purpose of Form F207-020-111 is to provide a closure order and notice for self-insured employers' medical only claims.
Q: What does the form include?
A: The form includes information such as claim and employer details, the reason for closure, and the date of closure.
Form Details:
- Released on August 1, 2013;
- 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 fillable version of Form F207-020-111 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.
