Follow the steps to complete the WA F245-224-000 form online.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Fill in the worker information section. Provide your claim number, full name, date of injury, home address (not PO Box), Social Security number (for identification only), phone number, and ensure all details are accurate.
3. Proceed to the travel information section. For each trip, enter the date in mm-dd-yyyy format, input the appropriate travel code from the provided list, specify where you traveled from and to, calculate the total number of roundtrip miles, and report the expense amount for each trip.
4. If applicable, fill out the reimbursing wages section. Indicate the total time missed from work to attend the exam and your hourly wage at the time of the independent medical examination.
5. Provide your employer's name and address details, along with the employer's phone number to ensure completeness.
6. Sign the form to acknowledge that the expenses are related to your workers' compensation claim and confirm that you have not been previously reimbursed for these expenses.
7. Finally, review all sections for accuracy, save your changes, and prepare the form for submission. Ensure all receipts for reported expenses are attached before mailing the completed form to the Department of Labor & Industries, PO Box 44269, Olympia, WA 98504-4269.

Complete your WA F245-224-000 form online today to ensure timely reimbursement for your medical expenses.