PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form F245-365-000
for the current year.
Form F245-365-000 Provider Account Change Form - Washington
What Is Form F245-365-000?
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 F245-365-000?
A: Form F245-365-000 is the Provider Account Change Form used in Washington.
Q: Who needs to fill out this form?
A: This form needs to be filled out by providers who want to make changes to their account information.
Q: What changes can I make using this form?
A: You can make changes to your provider name, address, phone number, email address, tax ID, and other account details using this form.
Q: Is there a deadline for submitting this form?
A: There is no specific deadline mentioned for submitting this form, but it is recommended to submit it as soon as possible after the changes are made.
Form Details:
- Released on April 1, 2019;
- 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 F245-365-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.
