Form F213-004-000 Cancellation of Elective Coverage - Sole Proprietors / Partner, Member of Limited Liability Company (LLC), Member of Limited Liability Partnership (LLP ) or for-Profit Corporate Officers - Washington

Form F213-004-000 Cancellation of Elective Coverage - Sole Proprietors / Partner, Member of Limited Liability Company (LLC), Member of Limited Liability Partnership (LLP ) or for-Profit Corporate Officers - Washington

What Is Form F213-004-000?

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 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.

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Form Details:

  • Released on May 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 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.

Download Form F213-004-000 Cancellation of Elective Coverage - Sole Proprietors / Partner, Member of Limited Liability Company (LLC), Member of Limited Liability Partnership (LLP ) or for-Profit Corporate Officers - Washington

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  • Form F213-004-000 Cancellation of Elective Coverage - Sole Proprietors/Partner, Member of Limited Liability Company (LLC), Member of Limited Liability Partnership (LLP ) or for-Profit Corporate Officers - Washington

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  • Form F213-004-000 Cancellation of Elective Coverage - Sole Proprietors/Partner, Member of Limited Liability Company (LLC), Member of Limited Liability Partnership (LLP ) or for-Profit Corporate Officers - Washington, Page 2

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  • Form F213-004-000 Cancellation of Elective Coverage - Sole Proprietors / Partner, Member of Limited Liability Company (LLC), Member of Limited Liability Partnership (LLP ) or for-Profit Corporate Officers - Washington, Page 1
  • Form F213-004-000 Cancellation of Elective Coverage - Sole Proprietors / Partner, Member of Limited Liability Company (LLC), Member of Limited Liability Partnership (LLP ) or for-Profit Corporate Officers - Washington, Page 2
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