PDF
Word
DOH Form 670-180 Agency Affiliated Counselor Supplemental Employer Contact - Washington
What Is DOH Form 670-180?
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 670-180?
A: DOH Form 670-180 is the Agency Affiliated Counselor Supplemental Employer Contact form.
Q: What is the purpose of DOH Form 670-180?
A: The purpose of DOH Form 670-180 is to provide information about the employer contact for an agency affiliated counselor in the state of Washington.
Q: Who needs to complete DOH Form 670-180?
A: Agency affiliated counselors in Washington state are required to complete DOH Form 670-180.
Q: Is DOH Form 670-180 mandatory?
A: Yes, agency affiliated counselors in Washington state are required to complete DOH Form 670-180.
Q: What information is required on DOH Form 670-180?
A: DOH Form 670-180 requires information about the employer contact for the agency affiliated counselor, including their name, address, phone number, and email address.
Form Details:
- Released on February 1, 2013;
- 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 printable version of DOH Form 670-180 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
