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.
Q: What is Form F213-004-000?
A: Form F213-004-000 is a Cancellation of Elective Coverage form for sole proprietors/partners, members of LLC, LLP, or for-profit corporate officers in Washington.
Q: Who is this form for?
A: This form is for sole proprietors, partners, members of LLC, LLP, or for-profit corporate officers in Washington.
Q: What does this form do?
A: This form allows individuals mentioned above to cancel their elective coverage.
Q: Why would someone need to cancel their elective coverage?
A: There could be multiple reasons, such as changes in employment status or no longer qualifying for elective coverage.
Form Details:
Download a fillable version of Form F213-004-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.