Fill and Sign Washington Legal Forms

This form is used for pharmacies in Washington to provide a statement of services rendered. It is available in Chinese Simplified language.

This document is used to provide a statement for pharmacy services in Washington. It is written in French.

This form is used for stating pharmacy services in Washington State for Samoan speaking residents.

This form is used for requesting reimbursement for travel expenses and lost wages related to an Independent Medical Exam (IME) in Washington state.

This form is used for conducting a care assessment in Washington state. It helps evaluate the needs and eligibility for long-term care services.

This form is used for reporting the progress of Nurse Case Management (NCM) in Washington.

This form is used for providing a statement regarding training option 2 in Washington for Korean speakers.

This Form is used for assessing an individual's functional recovery in Washington state. It includes a questionnaire to gather information about the person's physical and mental well-being.

This form is used for conducting a behavioral health assessment in Washington State. It helps collect information about an individual's mental health and substance use to determine appropriate treatment options.

This Form is used for documentation related to a Pilot Complex Claim Case Conference in Washington.

This form is used for filing a pilot complex claim summary under the Washington State Department of Labor and Industries' PRP (Preferred Worker Program).

This form is used for musculoskeletal surgeons in Washington to apply for the Surgical Quality Care Program.

This form is used for out-of-country providers to register as payees in the state of Washington.

This type of document is a registration form for international providers who want to become beneficiaries of the State of Washington.

This form is used for making a third party election in Washington state specifically translated in Chuukese language.

This form is used for third party election in Washington state, specifically for individuals who speak Haitian Creole.

This document is used for submitting a Third Party Election Form in Washington state for individuals who are part of the Mien community.

This form is used for assessing and measuring chronic pain in Washington. The 2-item Graded Chronic Pain Scale is a tool used to evaluate the severity of chronic pain based on two specific items.

This Form is used for assessing the level of disability in individuals residing in Washington using the Oswestry Disability Index.

This form is used for authorizing the release of information in Washington State specifically for individuals who speak Chuukese.

This form is used for filing a complaint regarding discrimination related to industrial insurance in Washington State. The form is available in Punjabi language.

This form is used for filing a complaint about claim suppression in Washington state. It is specifically designed for Arabic speakers.

This form is used for filing a privacy complaint related to mental health services in the state of Washington.

This form is used for filing a discrimination complaint in the state of Washington.

This form is used for employers in Washington to apply for reimbursement of wages paid to preferred workers.