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 F207-070-000?
A: Form F207-070-000 is a Self-insured Employers' Time Loss Claim Closure Order and Notice.
Q: Who is this form for?
A: This form is for self-insured employers in Washington.
Q: What is a self-insured employer?
A: A self-insured employer is an employer who is financially responsible for providing workers' compensation benefits to their employees.
Q: What is a Time Loss Claim Closure Order and Notice?
A: A Time Loss Claim Closure Order and Notice is a document that notifies the injured worker that their time loss benefits will be ending.
Q: What information does this form contain?
A: This form contains details about the claim closure, including the date of closure, the benefits that will be stopped, and the reason for the closure.
Q: What should a self-insured employer do with this form?
A: A self-insured employer should provide this form to the injured worker to notify them of the claim closure.
Q: Is this form specific to Washington?
A: Yes, this form is specific to Washington and is used by self-insured employers in the state.
Form Details:
Download a fillable version of Form F207-070-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.