Form F212-233-000 Washington Workers Insured Out-of-State: Employer's Supplemental Quarterly Report for Workers' Compensation - Washington

Form F212-233-000 Washington Workers Insured Out-of-State: Employer's Supplemental Quarterly Report for Workers' Compensation - Washington

What Is Form F212-233-000?

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 F212-233-000?
A: Form F212-233-000 is the Employer's Supplemental Quarterly Report for Workers' Compensation in Washington.

Q: Who needs to file Form F212-233-000?
A: Employers who have workers insured out-of-state in Washington need to file Form F212-233-000.

Q: What is the purpose of Form F212-233-000?
A: The purpose of Form F212-233-000 is to report information about workers insured out-of-state for workers' compensation in Washington.

Q: When is Form F212-233-000 due?
A: Form F212-233-000 is due on a quarterly basis, generally within 30 days after the end of each calendar quarter.

Q: Are there any penalties for not filing Form F212-233-000?
A: Yes, failure to file Form F212-233-000 or filing it late may result in penalties and interest being imposed.

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Form Details:

  • Released on April 1, 2017;
  • 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 F212-233-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

Download Form F212-233-000 Washington Workers Insured Out-of-State: Employer's Supplemental Quarterly Report for Workers' Compensation - Washington

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  • Form F212-233-000 Washington Workers Insured Out-of-State: Employer's Supplemental Quarterly Report for Workers' Compensation - Washington

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  • Form F212-233-000 Washington Workers Insured Out-of-State: Employers Supplemental Quarterly Report for Workers Compensation - Washington, Page 1
  • Form F212-233-000 Washington Workers Insured Out-of-State: Employers Supplemental Quarterly Report for Workers Compensation - Washington, Page 2
  • Form F212-233-000 Washington Workers Insured Out-of-State: Employers Supplemental Quarterly Report for Workers Compensation - Washington, Page 3
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