Form F207-202-000 Independent Medical Exam (Ime) Travel and Wage Reimbursement Request - Washington

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Form F207-202-000 Independent Medical Exam (Ime) Travel and Wage Reimbursement Request - Washington

What Is Form F207-202-000?

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 F207-202-000?
A: Form F207-202-000 is the Independent Medical Exam (IME) Travel and Wage Reimbursement Request form.

Q: What is an Independent Medical Exam?
A: An Independent Medical Exam (IME) is an examination conducted by a physician or medical professional to assess or evaluate a person's medical condition.

Q: What is the purpose of Form F207-202-000?
A: The purpose of Form F207-202-000 is to request reimbursement for travel and wage expenses incurred during an Independent Medical Exam.

Q: Who should use this form?
A: This form should be used by individuals who have undergone an Independent Medical Exam and need to request reimbursement for their travel and wage expenses.

Q: Is there a deadline for submitting this form?
A: Yes, there is a deadline for submitting this form. It should be submitted within one year from the date of the Independent Medical Exam.

Q: What expenses can be reimbursed through this form?
A: Travel expenses, such as transportation and lodging, and wage loss due to attending the Independent Medical Exam can be reimbursed through this form.

Q: Are there any specific requirements for documentation?
A: Yes, documentation such as receipts or invoices for travel expenses and employer verification of wage loss is required to be submitted along with this form.

Q: How long does it take to receive reimbursement?
A: The processing time for reimbursement may vary, but it usually takes around four to six weeks.

Q: Who can I contact for further assistance or questions?
A: For further assistance or questions, you can contact the Washington State Department of Labor and Industries.

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Form Details:

  • Released on August 1, 2018;
  • 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 printable version of Form F207-202-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

Download Form F207-202-000 Independent Medical Exam (Ime) Travel and Wage Reimbursement Request - Washington

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