Form F207-202-255 Independent Medical Exam (Ime) Travel and Wage Reimbursement Request - Washington (Korean)

Form F207-202-255 Independent Medical Exam (Ime) Travel and Wage Reimbursement Request - Washington (Korean)

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

FAQ

Q: What is Form F207-202-255?
A: Form F207-202-255 is a Travel and Wage Reimbursement Request form for an Independent Medical Exam (IME) in Washington.

Q: Who can use Form F207-202-255?
A: Individuals who are seeking reimbursement for travel and wage expenses related to an Independent Medical Exam (IME) in Washington can use this form.

Q: What is an Independent Medical Exam (IME)?
A: An Independent Medical Exam (IME) is an evaluation conducted by a neutral physician to assess an individual's medical condition.

Q: What expenses can be reimbursed using this form?
A: This form allows the reimbursement of travel and wage expenses incurred for an Independent Medical Exam (IME).

Q: Is this form available in Korean?
A: Yes, this form is available in Korean for individuals who prefer to use the language.

Q: How do I submit Form F207-202-255?
A: The completed form can be submitted by mail or in person to the Washington State Department of Labor & Industries.

Q: What is the purpose of this form?
A: The purpose of Form F207-202-255 is to request reimbursement for travel and wage expenses related to an Independent Medical Exam (IME) in Washington.

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Form Details:

  • Released on August 1, 2018;
  • 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 Form F207-202-255 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

Download Form F207-202-255 Independent Medical Exam (Ime) Travel and Wage Reimbursement Request - Washington (Korean)

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