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Get the free F252 -017-000 Vocational Provider Account Application - lni wa

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STATE OF WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES PO Box 44326 Olympia, WA 98504-4326 Dear Vocational Provider: Attached is the Vocational Provider Application and Agreement (form) necessary
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The provider may also obtain a Vocational Provider Account Number (VIA) online at: (You may also call the Division at to obtain a Vocational Provider Account Number). If you were required not to have an account number when you entered into this agreement, please fill out and return the form and email it with your completed agreement to: [Vocational Provider Service Center] VOCAL PROXIMITY CENTER P.O. Box 705 RICHMOND, WA 99202 VOCATIONAL PROVIDER AGREEMENT 1. In the event that you are a vocational provider that is requesting an “accredited provider account,” you have the following options in the Vocational provider Agreement: a. you may obtain an accredited provider account by participating on one of the following approved Provider Accreditation Agreements: (1) American Medical Group (AMA) — and (2) Association of American Medical Colleges (AAMC) – b. you may establish an account through the same or any other available source that is approved by the Washington State Industrial Insurance Program; c. you may submit documents through the Industrial Insurance Unit of the Office of Occupational Safety and Health (JOSH) or through the Office of Occupational Safety and Health (ASH) Office; or d. you may request an approved “Vocational Provider Verification Agreement” from JOSH. 2. The vocational provider services agreement has an expiration date of one year. 3. At the end of the one-year period from the date of entry into the agreement, you shall: a. pay into the Vocational Provider Account, b. notify your Employer of Wage and Hour Division if any non-wages wages paid to workers under your vocational provider services agreement have not been paid at least once during that one-year period, c. notify your Employer of Wage and Hour Division if any worker under your vocational provider services agreement has been injured or killed due to your vocational provider services agreement, and/or d.

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The f252 -017-000 vocational provider refers to a specific identification code for a vocational provider.
Vocational providers who meet certain criteria are required to file the f252 -017-000 vocational provider form.
To fill out the f252 -017-000 vocational provider form, you need to provide specific information based on the instructions given by the appropriate authority.
The purpose of the f252 -017-000 vocational provider is to accurately identify and collect information from vocational providers for various administrative and legal purposes.
The specific information that must be reported on the f252 -017-000 vocational provider form may vary, but generally includes details about the vocational provider's organization, operations, and financial status.
The deadline to file the f252 -017-000 vocational provider in 2023 may vary depending on the jurisdiction and specific requirements. Please consult the relevant authority for the exact deadline.
The penalty for the late filing of the f252 -017-000 vocational provider may vary depending on the jurisdiction and specific regulations. It is advisable to check the guidelines provided by the appropriate authority for details on penalties.
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