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Unty: Employer Phone number: Supervisor s name: Final wage rate: Have you filed a grievance? Department you worked in: Has employment been terminated? Yes No No Date: Date grievance filed: Union representative: Check related hazard type: Yes Job title: Phone number: Safety Both Health Did you request a safety or health inspection? Yes Date alleged act of discrimination occurred: No Date requested: Date you became aware of Employer s action: D.

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The Washington Medical Commission is responsible for reviewing, investigating and disciplining physicians (MD) and physician assistants (PA) in Washington State.

A complaint can be filed at any time. The Washington State Office of the Insurance Commissioner will review your complaint within 30 days. File your complaint here. Call the Washington State Office of the Insurance Commissioner helpline: (800) 562-6900.

What information must be provided to file a complaint? Your name and contact information. ... Name, address, and telephone number of the employer and worksite(s) Type of business or industry. Name and job title of the manager at the worksite. Detailed description of the hazard.

If your therapist practices in the state of Washington, go to the Washington State Health Department, Health Professions Quality Assurance, Counselor Programs where you can find online complaint forms to start the process.

Download and mail a completed Worker Rights Complaint form (F700-148-000)...Information to include Clearly state why you are filing a complaint and what rights you believe have been violated. Include the hours worked and wages owed, when applicable. Provide any relevant information or documents that support your case.

This begins with a call to your local dental society, and is available exclusively to patients of members of the Washington State Dental Association. As a last resort, you may call the Washington State Dental Quality Assurance Commission at (360) 236-4700 to file a formal complaint.

If you are a patient or family member and you wish to file a complaint with DOH or to get more information about consumer reports, you can visit the complaint intake unit webpage or call 360-236-4700. The Department of Health protects and improves the health of people in Washington State.

Call 1-800-423-7233. Fill out a DOSH Complaint Form and: Submit the form to our secure file upload. You can also use this link to send us photos, videos, documents, and all other supporting information along with your form.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232