Provider Application and Notice for Spanish Speaking Providers Outside the United States- English/Spanish
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| Título |
Provider Application and Notice for Spanish Speaking Providers Outside the United States- English/Spanish (6.5MB PDF)
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| Descripción | This form is to be used by Spanish speaking Medical Providers outside the United States. This form now includes both English and Spanish versions of the Provider form and letters. File includes W8ECI form from IRS and instructions for the form. Both IRS form and instructions are in English. Instructions in Spansih for the W8ECI have been added. This version is not the same as the English version, which is intended for use by Providers in the United States. | |
| Detalle | ||
| Número del formulario | F248-361-909 | |
| Disponibilidad | Online only | |
| Palabras claves | doctor, interpreter, physician, physician assistant | |
| Idiomas | Spanish | |
| Fechas válidas | 09-2008 | |
| Contacto |
Managing Injured Workers' Claims
Claims for Job Injuries |
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| Páginas de Internet | For Medical Providers | |
© Depto. de Labor e Industrias del Estado de Washington. El uso de éste sitio del Internet está sujeto a las leyes del Estado de Washington.