Follow the steps to successfully complete the application process.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in your U.S. Department of State Case Number in the specified section on the form.
3. Select the appropriate application type by checking one of the boxes: Primary Care Application, HPSA Waiver, Specialist Application, or Non-HPSA Waiver.
4. Complete the applicant information section, which requires details such as name, mailing address, phone number, and business license number.
5. Fill out the immigration attorney information if applicable. This includes their name, contact information, and mailing address.
6. Provide the J-1 physician's information. Include their name, email, phone number, home country, and WA State Medical License number.
7. Detail the proposed practice locations. Include the street address, city, state, zip code, and any HPSA IDs.
8. Respond to each of the eligibility questions regarding your service areas, healthcare provision history, and employment terms. Ensure to attach the required documentation where necessary.
9. Compile your main and secondary application packages in the specified order. Make sure to use a single fastener for the documents.
10. Review your completed application thoroughly to ensure all sections are filled out correctly and that all required documents are included.
11. Submit your application via U.S. postal mail or a commercial mail carrier to the designated address provided in the instructions.
12. Once submitted, you will receive notification from the department regarding the decision on your application.

Complete your WA DoH 346-003 application online today to ensure compliance and expedite your waiver process.