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Form F207-165-000 Self-insured Employers' Permanent Partial Disability Closure Order and Notice - Washington
What Is Form F207-165-000?
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.
FAQ
Q: What is Form F207-165-000?A: Form F207-165-000 is a closure order and notice form for self-insured employers regarding permanent partial disability in Washington.
Q: Who uses Form F207-165-000?A: Self-insured employers in Washington use Form F207-165-000.
Q: What is the purpose of Form F207-165-000?A: The purpose of Form F207-165-000 is to notify and order the closure of permanent partial disability claims.
Q: What information is included in Form F207-165-000?A: Form F207-165-000 includes details about the injured employee, the permanent partial disability being closed, and any benefits or payments that will be provided.
Q: Is Form F207-165-000 specific to a certain state?A: Yes, Form F207-165-000 is specific to the state of Washington.
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 F207-165-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.
