F245-224-000 - (L&I), Washington State - WA 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your personal information in the designated fields, including your name, address, and contact details. Ensure all information is accurate to avoid delays.
  3. Next, provide details regarding your medical exam appointment. This includes the date, time, and location as specified in your notification letter from L&I.
  4. If applicable, indicate any necessary documents you need to bring to the exam, such as x-rays or MRIs. This ensures that the examining doctor has all relevant information.
  5. Review all entered information for completeness and accuracy. Incomplete forms may be returned for correction.
  6. Once satisfied with your entries, submit the form electronically through our platform for free. You can also print it out if you prefer a physical submission.

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