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This version of the form is not currently in use and is provided for reference only. Download this version of
Form F245-053-000
for the current year.
Form F245-053-000 Independent Medical Exam Comments - Washington
What Is Form F245-053-000?
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 F245-053-000?
A: F245-053-000 is a form used for independent medical exam comments in Washington.
Q: What is an independent medical exam?
A: An independent medical exam is an evaluation conducted by a medical professional not involved in the patient's regular care to assess their medical condition.
Q: When is F245-053-000 used?
A: F245-053-000 is used when providing comments or notes related to an independent medical exam conducted in Washington.
Q: Who completes F245-053-000?
A: The medical professional who conducted the independent medical exam completes F245-053-000.
Q: Do I need to submit F245-053-000?
A: The submission of F245-053-000 depends on the requirements of the organization or entity requesting the independent medical exam.
Q: Is F245-053-000 specific to Washington?
A: Yes, F245-053-000 is specific to independent medical exams conducted in Washington.
Form Details:
- Released on June 1, 2022;
- 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 F245-053-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.
