DOH Form 664-039 Physical Therapy Employment Verification - Washington

DOH Form 664-039 Physical Therapy Employment Verification - Washington

What Is DOH Form 664-039?

This is a legal form that was released by the Washington State Department of Health - 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 DOH Form 664-039?
A: DOH Form 664-039 is a Physical Therapy Employment Verification form used in Washington.

Q: Who needs to fill out DOH Form 664-039?
A: Physical therapists and their employers in Washington may need to fill out this form.

Q: What is the purpose of DOH Form 664-039?
A: The purpose of this form is to verify employment information for physical therapists in Washington.

Q: How do I fill out DOH Form 664-039?
A: You need to provide your personal and employment information, and your employer needs to verify and sign the form.

Q: Is DOH Form 664-039 specific to Washington?
A: Yes, DOH Form 664-039 is specific to Washington and is used by the Washington State Department of Health.

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Form Details:

  • Released on December 1, 2016;
  • The latest edition provided by the Washington State Department of Health;
  • 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 DOH Form 664-039 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 664-039 Physical Therapy Employment Verification - Washington

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  • DOH Form 664-039 Physical Therapy Employment Verification - Washington, Page 1
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