Form F207-070-000 Self-insured Employers' Time Loss Claim Closure Order and Notice - Washington

Form F207-070-000 Self-insured Employers' Time Loss Claim Closure Order and Notice - Washington

What Is Form F207-070-000?

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 F207-070-000?
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.

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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 F207-070-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

Download Form F207-070-000 Self-insured Employers' Time Loss Claim Closure Order and Notice - Washington

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