Form F248-361-232 Provider Account Application for Provider Outside the United States - Washington (French)

Form F248-361-232 Provider Account Application for Provider Outside the United States - Washington (French)

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 French. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form F248-361-232?
A: The Form F248-361-232 is an application form for healthcare providers outside the United States who wish to become providers in Washington state.

Q: Who can use the Form F248-361-232?
A: The Form F248-361-232 can be used by healthcare providers outside the United States who want to offer their services in Washington state.

Q: Is the Form F248-361-232 only available in French?
A: Yes, the Form F248-361-232 is specifically for providers outside the United States and is available in French for non-English speakers.

Q: What information is required in the Form F248-361-232?
A: The Form F248-361-232 requires information such as provider details, languages spoken, license information, and payment methods.

Q: How can I submit the Form F248-361-232?
A: The Form F248-361-232 can be submitted by mail or fax using the contact information provided on the form.

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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;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Forme F248-361-232 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

Download Form F248-361-232 Provider Account Application for Provider Outside the United States - Washington (French)

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