Form F245-224-000 Independent Medical Exam (Ime) Travel and Wage Reimbursement Request - Washington

What Is Form F245-224-000?

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 F245-224-000?
A: Form F245-224-000 is the Independent Medical Exam (IME) Travel and Wage Reimbursement Request form.

Q: For which state is this form?
A: This form is for Washington state.

Q: What is the purpose of Form F245-224-000?
A: The purpose of this form is to request reimbursement for travel and wage loss expenses related to an Independent Medical Exam (IME).

Q: Who can use this form?
A: This form can be used by injured workers in Washington who need to travel for an Independent Medical Exam (IME) and are seeking reimbursement for their expenses.

Q: What expenses can be reimbursed with this form?
A: This form can be used to request reimbursement for travel expenses, such as transportation, parking, and lodging, as well as wage loss due to attending the IME.

Q: How can this form be submitted?
A: This form can be submitted by mail or fax to the Washington State Department of Labor & Industries.

Q: Are there any deadlines for submitting this form?
A: Yes, this form must be submitted within one year from the date of the IME.