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Washington Hospital Services999 Third Avenue, Suite 1400 Seattle, WA 98104 (206) 2853955 Fax: (206) 5771909Claims Supply Order Form__5elflnsured Accident Report (IF 2) 1. Workers\' Compensation Claim
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How to fill out self-insured form request sif-2
01
Obtain the self-insured form request sif-2 from the appropriate department or website.
02
Fill in all the required fields on the form, including your company information, the type of insurance you are self-insuring, and any other requested details.
03
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Submit the completed form as instructed, either in person, through email, or by mail.
Who needs self-insured form request sif-2?
01
Companies or organizations who are looking to self-insure a specific type of insurance coverage will need to fill out the self-insured form request sif-2.
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What is self-insured form request sif-2?
Self-insured form request sif-2 is a form that allows a company to indicate their intention to be self-insured for workers' compensation purposes.
Who is required to file self-insured form request sif-2?
Employers who wish to be self-insured for workers' compensation purposes are required to file the self-insured form request sif-2.
How to fill out self-insured form request sif-2?
To fill out the self-insured form request sif-2, the employer must provide all required information such as company details, estimated payroll, and proof of financial responsibility.
What is the purpose of self-insured form request sif-2?
The purpose of self-insured form request sif-2 is to inform the relevant authorities that the employer intends to be self-insured for workers' compensation purposes.
What information must be reported on self-insured form request sif-2?
The self-insured form request sif-2 must include information such as company details, estimated payroll, and proof of financial responsibility.
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