Provider Application and Notice for new firms
See also
| Document Information | ||
|---|---|---|
 Get help downloading & printing files.  How to complete a fillable form. |
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| Title |
Provider Application and Notice for new firms (A fillable form - 500 KB PDF)
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| Description | Complete this application and the StateWide Payee W-9 if you are applying for a firm Provider Number with L&I. |
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| Detail | ||
| Form number | F252-088-000 | |
| Availability | Online only. See document above to download. |
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| Keywords | vocational, vocational application, vocational provider | |
| Languages | English | |
| Valid dates | 01-2007 | |
| Contact information |
Vocational Resources
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