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This version of the form is not currently in use and is provided for reference only. Download this version of
Form F250-016-000
for the current year.
Form F250-016-000 Application for Group Membership and Authorization for Release of Insurance Data - Washington
What Is Form F250-016-000?
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 F250-016-000?
A: Form F250-016-000 is an application for group membership and authorization for release of insurance data in the state of Washington.
Q: Who uses Form F250-016-000?
A: This form is used by individuals or groups in Washington who want to apply for group membership and authorize the release of insurance data.
Q: What is the purpose of Form F250-016-000?
A: The purpose of this form is to allow individuals or groups to apply for group membership and authorize the release of insurance data in Washington.
Q: Is Form F250-016-000 mandatory?
A: It is not mandatory, but it is required if you want to apply for group membership and authorize the release of insurance data in Washington.
Q: Are there any fees associated with Form F250-016-000?
A: There are no fees associated with this form.
Form Details:
- Released on April 1, 2012;
- 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 F250-016-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.
