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.
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.
Form Details:
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.