Form F245-046-000 Ime Provider Account Application - New / Add Payee - Washington

Form F245-046-000 Ime Provider Account Application - New / Add Payee - Washington

What Is Form F245-046-000?

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 F245-046-000?
A: Form F245-046-000 is the Ime Provider Account Application - New/Add Payee form used in Washington.

Q: Who needs to complete Form F245-046-000?
A: IME providers who want to add a new payee need to complete this form.

Q: What is an IME provider?
A: IME stands for Independent Medical Examination. An IME provider is a healthcare professional or facility that performs medical evaluations for various purposes, such as determining the extent of injuries or disabilities.

Q: What is the purpose of Form F245-046-000?
A: The purpose of this form is to apply for a new payee or add a payee to an existing IME provider account.

Q: Is this form specific to Washington?
A: Yes, Form F245-046-000 is specific to Washington State.

Q: Are there any fees associated with completing this form?
A: There are no fees associated with completing Form F245-046-000.

Q: What information is required on Form F245-046-000?
A: The form requires information such as the IME provider's name, contact information, and details about the new or additional payee.

Q: How long does it take to process this application?
A: The processing time for Form F245-046-000 may vary, but it typically takes a few weeks.

ADVERTISEMENT

Form Details:

  • Released on July 1, 2020;
  • 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 F245-046-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

Download Form F245-046-000 Ime Provider Account Application - New / Add Payee - Washington

4.3 of 5 (6 votes)
  • Form F245-046-000 Ime Provider Account Application - New/Add Payee - Washington

    1

  • Form F245-046-000 Ime Provider Account Application - New/Add Payee - Washington, Page 2

    2

  • Form F245-046-000 Ime Provider Account Application - New/Add Payee - Washington, Page 3

    3

  • Form F245-046-000 Ime Provider Account Application - New/Add Payee - Washington, Page 4

    4

  • Form F245-046-000 Ime Provider Account Application - New/Add Payee - Washington, Page 5

    5

  • Form F245-046-000 Ime Provider Account Application - New/Add Payee - Washington, Page 6

    6

  • Form F245-046-000 Ime Provider Account Application - New/Add Payee - Washington, Page 7

    7

  • Form F245-046-000 Ime Provider Account Application - New / Add Payee - Washington, Page 1
  • Form F245-046-000 Ime Provider Account Application - New / Add Payee - Washington, Page 2
  • Form F245-046-000 Ime Provider Account Application - New / Add Payee - Washington, Page 3
  • Form F245-046-000 Ime Provider Account Application - New / Add Payee - Washington, Page 4
  • Form F245-046-000 Ime Provider Account Application - New / Add Payee - Washington, Page 5
  • Form F245-046-000 Ime Provider Account Application - New / Add Payee - Washington, Page 6
  • Form F245-046-000 Ime Provider Account Application - New / Add Payee - Washington, Page 7
Prev 1 2 3 4 5 ... 7 Next
ADVERTISEMENT