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This Form is used for requesting non-emergency medical transportation (NEMT) for the PASRR Program in Washington state.
This Form is used for keeping inventory records of items in companion homes in Washington.
This Form is used for requesting access to DSHS/HCA Systems in the state of Washington.
This Form is used for conducting background checks on contractor designated contacts in Washington state.
This form is used for reporting the assignment of assistive communication technology contractors in the state of Washington.
This form is used for requesting approval to subcontract in Washington state for the DSHS/DVR program.
This form is used for reviewing the physical and safety requirements of companion homes for individuals with developmental disabilities in Washington state.
This form is used for authorizing specific actions or permissions in Washington state. It is written in French.
This form is used for applying for nonassistance support enforcement services in Washington for individuals of Norwegian descent.
This form is used for applying for nonassistance support enforcement services in Washington for individuals who speak Hmong.
This document is an application form for non-assistance support enforcement services in Washington state. It is available in French.
This document is for authorizing and requesting specific actions related to the Washington DSHS (Department of Social and Health Services).
This form is used for applying for nonassistance support enforcement services in Washington. It is available in Portuguese language.
This document is an application form for Washington residents who wish to apply for nonassistance support enforcement services in the Serbo-Croatian language.
This Form is used for applying for Nonassistance Support Enforcement Services in Washington state. It is available in Vietnamese language.
This Form is used for reporting resources and expenses in Washington state. It is specific to the Department of Social and Health Services (DSHS) and is required for individuals applying for or receiving benefits.
This Form is used for applying for nonassistance support enforcement services in Washington state. It is available in Tagalog language for convenience.
This Form is used for reporting and documenting an individual's resources and expenses. It is specifically for residents of Washington state.
This type of document, Form 18-097, is used for stating your resources and expenses if you are a resident of Washington. This specific version is in Tagalog language.
This form is used for Samoan residents in Washington to provide a statement of their financial resources and expenses.
This Form is used for reporting income and expenses to the Washington State Department of Social and Health Services. It is available in the Somali language.
This form is used by individuals in Washington to request the disclosure of an address. It is specifically available in German language.
This form is used for requesting the disclosure of an address in the state of Washington. It is provided in the Tagalog language.
This form is used for requesting the disclosure of an address in Washington state, specifically for individuals who speak Somali.
This type of document is a Form 18-176A used in Washington to request disclosure of address information.
This form is used for reporting financial resources and expenses in Washington state. It is available in Farsi.
This document is used for reporting the resources and expenses in the Ukrainian language for the purpose of DSHS (Department of Social and Health Services) in Washington state.
This document is used for requesting the reimbursement of temporary assistance in Washington state.
This form is used for authorizing reimbursement for interim assistance in Washington state for Somali individuals.