PROVIDER'S INITIAL REPORT Forms
| Form Name | PROVIDER'S INITIAL REPORT |
| Form # | F207-028-000 |
| Form Revision | 09-2020 |
| Category | Forms » Medical/Health |
| Downloads | |
| Form State | Washington |
| Language | English |
| State Description | This form must be ordered on-line from the Washington State Department of Labor & Industries website. |
| Claimwire Description | n/a |