Get a Form or Publication: hospital
Your search for "hospital" returned 2 documents.
See also
| Title | Type | Number |
|---|---|---|
| Crime Victim Compensation Program Sexual Assault Exam Report
A form used by physicians, hospitals and clinics to provide information and reporting to the Crime Victims Compensation Program. |
Form | F800-098-000 |
| UB04 HCFA 1450
Used by hospitals to bill L&I for inpatient/outpatient services. This version includes NPI number. |
Form | F245-367-000 |
We value your feedback!
Please take this survey to help improve the L&I website.
Take survey
(About 3 minutes)
© Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.