This is a legal form that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington.
The document is provided in Chuukese. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form F245-224-218?
A: Form F245-224-218 is the Independent Medical Exam (IME) Travel and Wage Reimbursement Request Form specific to Washington.
Q: What is an Independent Medical Exam (IME)?
A: An Independent Medical Exam (IME) is a medical examination conducted by a healthcare professional not involved in the individual's ongoing care. It is typically requested by an employer or insurance company for various reasons, such as assessing a work-related injury or determining disability status.
Q: Who should use Form F245-224-218?
A: Form F245-224-218 should be used by individuals in Washington who are requesting reimbursement for travel expenses and wage loss related to an Independent Medical Exam (IME).
Q: What is the purpose of Form F245-224-218?
A: The purpose of Form F245-224-218 is to formally request reimbursement for travel expenses and wage loss incurred during an Independent Medical Exam (IME) in Washington.
Q: What does the form require?
A: The form requires the individual to provide personal information, details about the IME, travel expenses, wage loss, and relevant supporting documentation.
Q: Are there any specific instructions for completing the form?
A: Yes, the form contains detailed instructions that should be followed carefully while completing it. The instructions are available on the form itself.
Q: How long does it take to process the reimbursement request?
A: The processing time for the reimbursement request may vary. It is recommended to contact the Washington State Department of Labor & Industries for more information on processing times.
Q: Is there a deadline for submitting the reimbursement request?
A: Yes, there is a deadline for submitting the reimbursement request. It is important to submit the request within a specified time frame after the completion of the IME.
Form Details:
Download a printable version of Form F245-224-218 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.