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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

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The lien must be filed for recording with the Auditor of the county in which the health-care services were performed. You should send the original and one (1) copy of the lien to your county Auditor. CLAIMANT: Name, Title, Address Must be a licensed health care practitioner under the laws of the State of Washington.
Even if you owe a hospital for past-due bills, that hospital cannot turn you away from its emergency room. This is your right under a federal law called the Emergency Medical Treatment and Active Labor Act (EMTALA).
One way that the hospital or doctor now can legally take action against you after they win a judgement would be to seize some of your assets. This means that the creditor can file a lien against your home.
You can look at public records in the county where the treatment occurred to see if any liens have been recorded against you. If you know which entity might have a lien (such as a worker's compensation insurer, Medicaid, or Medicare), contact them directly to verify whether they have filed a lien.
Washington State Department of Social and Health Services.
A judgment lien in Washington will remain attached to the debtor's property (even if the property changes hands) for ten years.