PDF
Word
DOH Form 664-039 Physical Therapy Employment Verification - Washington
What Is DOH Form 664-039?
This is a legal form that was released by the Washington State Department of Health - 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 DOH Form 664-039?A: DOH Form 664-039 is a Physical Therapy Employment Verification form used in Washington.
Q: Who needs to fill out DOH Form 664-039?A: Physical therapists and their employers in Washington may need to fill out this form.
Q: What is the purpose of DOH Form 664-039?A: The purpose of this form is to verify employment information for physical therapists in Washington.
Q: How do I fill out DOH Form 664-039?A: You need to provide your personal and employment information, and your employer needs to verify and sign the form.
Q: Is DOH Form 664-039 specific to Washington?A: Yes, DOH Form 664-039 is specific to Washington and is used by the Washington State Department of Health.
Form Details:
- Released on December 1, 2016;
- The latest edition provided by the Washington State Department of Health;
- 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 DOH Form 664-039 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
