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PUBLISHES SPACE FOR OFFICE DISCLOSURE COMMISSION 711 CAPITOL WAY RM 206 PO BOX 40908 OLYMPIA WA 985040908 (360) 7531111 TOLL FREE 18776012828C3CASH RECEIPTS MONETARY CONTRIBUTIONS10090798106072019(1/02)Candidate
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To fill out the Washington State Chiropractic Trust form, follow these steps:
02
Start by entering your personal information in the designated fields, including your name, address, contact details, and chiropractic license number.
03
Provide details about your chiropractic practice, such as the name, address, and contact information.
04
Specify the type of chiropractic service you provide and any additional certifications or specialties you hold.
05
Answer the questions related to your compliance with the Washington State laws and regulations governing chiropractic practice.
06
Provide information about your malpractice insurance coverage, including the policy number and coverage amount.
07
If applicable, indicate any previous malpractice claims or disciplinary actions against you.
08
Review the form for accuracy and completeness before submitting it.
09
Sign and date the form to certify the information provided is true and accurate.
10
Submit the filled-out and signed form to the appropriate authority or organization as instructed.

Who needs washington state chiropractic trust?

01
Washington State Chiropractic Trust is needed by licensed chiropractors practicing in Washington State. It serves as a form of insurance or financial protection in case of malpractice claims or disciplinary actions.
02
Chiropractors who want to comply with the state laws and regulations and ensure they have appropriate malpractice insurance coverage should obtain the Washington State Chiropractic Trust.
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The Washington State Chiropractic Trust is a fund established to support chiropractors in Washington State in cases of disability, retirement, or other financial needs.
All licensed chiropractors in Washington State are required to file the Washington State Chiropractic Trust.
To fill out the Washington State Chiropractic Trust, chiropractors must provide information about their practice, income, and contributions to the trust.
The purpose of the Washington State Chiropractic Trust is to provide financial support to chiropractors in times of need and to ensure the stability of the chiropractic profession in the state.
Chiropractors must report their income, practice information, and contributions to the trust on the Washington State Chiropractic Trust form.
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