Interpretive Services Appointment Record

Interpretive Services Appointment Record - (Forms/Publications)
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Title Interpretive Services Appointment Record (A fillable form - 162 KB PDF)

This form is used when an interpreter is appointed to interpret for an injured worker during their medical visits.

When ordering, there is a limit of 4 pads, or 100 copies total. Fax your request to the L&I Warehouse at 360-902-4525 or email   Include the following in your request: Your name, mailing address, and telephone number and form number F245-056-000.

Form number F245-056-000
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Keywords Appointment Records, interpretive, Interpretive Services, Records, translator
Languages English
Valid dates 12-2012
Contact information
Related information

Submission of Provider Credentials for Interpretive Services

Web pages For Medical Providers

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