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Get Washington Form F212 Mailing Address

E with this report Note: If you haven t applied for out-of-state reporting and provided us with a copy of your out-of-state workers compensation insurance certificate, please call (360)-902-5564. This needs to be completed prior to submitting this report. Business name Main office address City State ZIP UBI Number Out-Of-State Information Account ID Country State or Province This report is for quarter ending For above state, province or country: Due Date Date employee(s) began w.

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