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This form is used for acknowledging services provided in Washington by the Department of Social and Health Services. It is available in Kirundi, a language spoken in Burundi.

This document is used for acknowledging services received in the state of Washington. It is specifically translated into Mandinka language.

This document is used to acknowledge services received in Washington state. It is available in Romanian language.

This document is used to acknowledge receipt of services in Washington state for individuals who speak Marshallese.

This form is used for reporting client income to the Washington State Department of Social and Health Services (DSHS). It helps determine eligibility for various social assistance programs.

This document is used for employment verification in the state of Washington. It is specifically translated into Somali.

This Form is used for Employment Verification in Washington state for people who belong to the Nuer community.

This form is used for verifying employment in Washington state. It is available in Tagalog language.

This Form is used for applying to convert a Payment Services Only (PSO) case to Full Collection Services in Washington for Oromo speakers.

This Form is used for reporting changes in client status to the Washington State Department of Social and Health Services (DSHS).

This Form is used for applying to convert a Payment Services Only (PSO) case to a Full Collection Services case in Washington State. This document is available in Amharic.

This form is used for converting a Payment Services Only (PSO) case to a Full Collection Services case in Washington state. It is available in Arabic.

This Form is used for applying to convert a Payment Services Only (PSO) case to a Full Collection Services case in Washington. It is available in Russian.

This Form is used for conducting an evaluation of protective agents in the state of Washington. The form is in Spanish.

This document is used for creating an Individual Responsibility Plan for individuals on the Workfirst program in Washington state. It is specifically available in the Cambodian language.

This Form is used for conducting a Protective Payee Assessment in Washington for individuals who speak Trukese.

This document is used in Washington state for creating an individual responsibility plan for participants in the Workfirst program. It is specifically formatted for those who speak Dinka.

This form is used for pre-admission screening and resident review in Washington state. It is required for individuals seeking long-term care services to determine their eligibility and level of care needed.

This form is used for creating an Individual Responsibility Plan for Workfirst program participants in Washington. It is available in Bengali.

This document is a DSHS Form 14-381 Plan de Responsabilidad Individual (IRP) used in Washington state. It is written in Spanish and is used for individual responsibility planning.

This Form is used for creating an Individual Responsibility Plan for individuals participating in the Workfirst program in Washington (Rwanda).

This document is for creating an Individual Responsibility Plan for individuals participating in the Workfirst program in Washington. It is available in Somali language to aid Somali-speaking participants.

This Form is used for creating an individual responsibility plan for Workfirst participants in Washington who speak Tagalog.

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