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This Form is used for creating a WorkFirst Individual Responsibility Plan for residents of Washington who speak Nepali. It helps outline goals and responsibilities for individuals participating in the WorkFirst program.

This Form is used for requesting notification of address disclosure in Washington (Cambodian) through the DSHS Form 14-401.

This document is for notifying the Washington State Department of Social and Health Services about the request to disclose an address in Chinese language.

This document is used to notify the Washington State Department of Social and Health Services about a request to disclose your address information.

This document is for creating a Workfirst Individual Responsibility Plan for individuals in the Washington state Workfirst program.

This document is used for notifying the Department of Social and Health Services in Washington about a request to disclose one's address. The form is specifically in Vietnamese.

This form is used for creating a Workfirst Individual Responsibility Plan for participants in Washington's Department of Social and Health Services (DSHS) program. It is available in the Thai language.

This document is used for notifying DSHS (Department of Social and Health Services) in Washington about a request to disclose your address. It is in Vietnamese language.

This form is used for notifying the Washington State Department of Social and Health Services (DSHS) about a request to disclose your address information. The form is available in Chinese.

This Form is used for providing notice in Washington State when requesting to change a child's residential address in a custody case.

This Form is used for conducting an eligibility review for long term services and supports in Washington State. It is specifically meant for Italian individuals.

This Form is used for creating an individual responsibility plan for WorkFirst participants in Washington. It is available in Farsi language.

This form is used for reviewing eligibility for long term services and supports in Washington state. It is specifically translated into Polish.

This form is used for conducting an eligibility review for long-term services and supports in Washington state. It is available in Vietnamese.

This type of document, DSHS Form 14-416, is used for reviewing eligibility for long term services and support in Washington state. It is available in Somali language.

This document is used to notify individuals in Washington who are awaiting approval to provide in-home care as family, friends, or neighbors.

This form is used for applying for the Community First Choice (CFC) or Medically Needy (MN) programs under the Washington state Department of Social and Health Services (DSHS). It allows individuals to apply for long-term care services and support through the Community Options Program Entry System (COPES).

This form is used for changing the provider for the Family, Friend, or Neighbor (FFN) program in Washington state, specifically for Cambodian language users.

This document is a pending letter in Tagalog for the DSHS Family, Friend and Neighbor (FFN) In-Home/Relative program in Washington. It is used to communicate the status of an application or assessment for FFN childcare services to individuals who speak Tagalog.

This document is used for authorizing medical/dental services in Washington State. It is provided in Somali language.

This form is used for authorizing medical and dental services in Washington state. It is specifically available in the Lao language.

This document allows Vietnamese-speaking individuals in Washington to access the Protective Payee Payment Plan, Case Assignment, and Closure Notice. It helps ensure the proper and secure management of financial payments and provides closure details for specific cases.

This Form is used for reporting work stoppage to the Washington State Department of Social and Health Services (DSHS) for individuals who speak Lao.

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