Form F248-361-000 Provider Account Application for Provider Outside the United States - Washington

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form F248-361-000 for the current year.

Form F248-361-000 Provider Account Application for Provider Outside the United States - Washington

What Is Form F248-361-000?

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 F248-361-000?
A: Form F248-361-000 is the Provider Account Application for Provider Outside the United States - Washington.

Q: Who needs to fill out this form?
A: This form needs to be filled out by providers located outside the United States who want to become providers in Washington.

Q: What is the purpose of this form?
A: The purpose of this form is to apply for a provider account in Washington if you are located outside the United States.

Q: Is there a fee to submit this application?
A: Yes, there is a fee associated with submitting this application. The fee amount can be found on the form.

Q: What documents are required to be submitted with this form?
A: The required documents may vary depending on the type of provider. Please refer to the instructions provided with the form for the complete list of required documents.

Q: How long does it take to process this application?
A: The processing time for this application can vary. It is recommended to contact the Washington State Department of Labor & Industries for more information.

ADVERTISEMENT

Form Details:

  • Released on December 1, 2017;
  • The latest edition provided by the Washington State Department of Labor and Industries;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form F248-361-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

Download Form F248-361-000 Provider Account Application for Provider Outside the United States - Washington

4.5 of 5 (42 votes)
  • Form F248-361-000 Provider Account Application for Provider Outside the United States - Washington

    1

  • Form F248-361-000 Provider Account Application for Provider Outside the United States - Washington, Page 2

    2

  • Form F248-361-000 Provider Account Application for Provider Outside the United States - Washington, Page 3

    3

  • Form F248-361-000 Provider Account Application for Provider Outside the United States - Washington, Page 4

    4

  • Form F248-361-000 Provider Account Application for Provider Outside the United States - Washington, Page 1
  • Form F248-361-000 Provider Account Application for Provider Outside the United States - Washington, Page 2
  • Form F248-361-000 Provider Account Application for Provider Outside the United States - Washington, Page 3
  • Form F248-361-000 Provider Account Application for Provider Outside the United States - Washington, Page 4
Prev 1 2 3 4 Next
ADVERTISEMENT