Form F207-164-000 Self-insured Employers' Permanent Partial Disability Closure Order and Notice - Washington

Form F207-164-000 Self-insured Employers' Permanent Partial Disability Closure Order and Notice - Washington

What Is Form F207-164-000?

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 F207-164-000?
A: Form F207-164-000 is a closure order and notice for self-insured employers' permanent partial disability in Washington.

Q: What is a self-insured employer?
A: A self-insured employer is an employer who provides workers' compensation benefits directly to their employees, instead of purchasing insurance from a state fund or private insurer.

Q: What is permanent partial disability?
A: Permanent partial disability refers to a condition where an injured employee has a permanent impairment that does not fully disable them, but affects their ability to perform certain tasks or jobs.

Q: What is the purpose of this form?
A: The purpose of this form is to provide a closure order and notice for self-insured employers' permanent partial disability cases in Washington.

Q: Who needs to fill out this form?
A: Self-insured employers in Washington need to fill out this form for permanent partial disability closure cases.

Q: Are there any deadlines for submitting this form?
A: Yes, there are deadlines for submitting this form. The specific deadlines can be found in the instructions provided with the form.

Q: What should I do if I have questions about this form?
A: If you have questions about this form, you should contact the Washington State Department of Labor and Industries for assistance.

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Form Details:

  • Released on August 1, 2013;
  • 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 F207-164-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

Download Form F207-164-000 Self-insured Employers' Permanent Partial Disability Closure Order and Notice - Washington

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