Form F245-224-332 Independent Medical Exam (Ime) Travel and Wage Reimbursement Request - Washington (Twi)

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This is a legal form that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington.

The document is provided in Twi. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F245-224-332?A: Form F245-224-332 is a Travel and Wage Reimbursement Request form for Independent Medical Exam (IME) in Washington (TWI).

Q: What is an Independent Medical Exam (IME)?A: An Independent Medical Exam (IME) is an examination conducted by a third-party medical professional to assess a person's medical condition, usually for purposes of determining eligibility for workers' compensation benefits.

Q: What is the purpose of Form F245-224-332?A: The purpose of Form F245-224-332 is to request reimbursement for travel expenses and lost wages related to the Independent Medical Exam (IME) in Washington (TWI).

Q: Who should use Form F245-224-332?A: Individuals who have undergone an Independent Medical Exam (IME) in Washington (TWI) and need to request reimbursement for travel expenses and lost wages should use Form F245-224-332.

Form Details:

Released on December 1, 2020;
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;

Download a printable version of Form F245-224-332 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.