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.
Q: What is Form F622-035-000?
A: Form F622-035-000 is a Plan Approval Request Conversion form.
Q: What is the purpose of the Plan Approval Request Conversion form?
A: The purpose of the Plan Approval Request Conversion form is to request approval for the conversion of vendor or medical units in Washington.
Q: Who can use Form F622-035-000?
A: Form F622-035-000 can be used by vendors or medical units in Washington.
Form Details:
Download a fillable version of Form F622-035-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.