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Download Overpayment Reimbursement Fund Request Coversheet (F207-212-000) – Department of Labor and Industries (Washington) form. Not all forms are listed.ECHO Health Enrollment – Submit this form to enroll with ECHO Health, our electronic funds transfer partner. Separate each date of service submission with a blank page, or a fax cover sheet. Description: Use this spreadsheet template and cover page; include them with your paper nonresident Wage Tax refund request. 7.5 Claim Reimbursement. MHCP Reimbursement is Payment in Full. How Do I Buy Back My Military Time? DownloadNumberEffective Date609. This is the total withholding tax overpaid for this quarter.