Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Crime Victims Compensation Program (CVCP), Washington State Department of Labor & Industries (L&I). Before sending anything sensitive, confirm the number and receiving department directly with Crime Victims Compensation Program (CVCP), Washington State Department of Labor & Industries (L&I), and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.

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Crime Victims Compensation Program (CVCP), Washington State Department of Labor & Industries (L&I) fax number

(360) 902-5333

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Crime Victims Compensation Program, Department of Labor & Industries (L&I), Washington State

Used for: Used to submit Crime Victims Compensation Program forms and related documentation by fax, including provider account applications (F800-053-000) and other claims materials.

Fax destination details

Department
Crime Victims Compensation Program, Department of Labor & Industries (L&I), Washington State
Purpose
Used to submit Crime Victims Compensation Program forms and related documentation by fax, including provider account applications (F800-053-000) and other claims materials.
Form
Provider Account Application (F800-053-000) — Provider Account Application & Notice
Address
PO Box 44520, Olympia, WA 98504-4520
Voice phone
1-800-762-3716

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Instructions are included with the Provider Account Application; the form is titled Master Level Counselor Provider Account Application (F800-053-000) and includes steps for account setup and submission.

Official form instructions are published as a downloadable file on the organization's website.

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