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This document is for providing documentation about the use of Medicaid benefits in Washington state.
This document is used in Washington to record the first use of Medicaid benefits for individuals with developmental disabilities. It is available in Vietnamese.
This Form is used for applying for an Enhanced Services Facility in the state of Washington.
This Form is used for referring individuals to the Workfirst Work Experience (Wex) program in Washington state.
This document is used for the WorkFirst Word Experience (WEX) Agreement in Washington state. It is a form that outlines the agreement between the participant and the employer for on-the-job training and work experience.
This form is used to request an administrative hearing for residential care services in the state of Washington.
This Form is used for Hmong-speaking individuals in Washington participating in the Workfirst program to create an Individual Responsibility Plan.
This Form is used for summarizing psychiatric referrals in the state of Washington.
This Form is used for applying for senior citizens services in Washington state through the Department of Social and Health Services (DSHS).
This form is used for creating an Individual Responsibility Plan for WorkFirst participants in Washington. It is available in Korean language.
This form is used for non-profit organizations in Washington state to apply for reconditioned telecommunications equipment through the Office of the Deaf and Hard of Hearing.
This form is used for documenting and making decisions about the permanency planning of a child with a developmental disability in the state of Washington. It helps in determining the appropriate placement and support services for the child's well-being and future.
This form is used for making a Child Support Referral in the state of Washington through the Department of Social and Health Services (DSHS). It helps in collecting and enforcing child support payments.
This Form is used for providing notice of a hearing regarding out-of-home placement for a child with a developmental disability in the state of Washington.
This Form is used for referring veterans to the appropriate resources and services in Washington state.
This document is used for providing information about collateral in the state of Washington.
This form is used for completing a pre-admission screening and resident review addendum for individuals seeking long-term care services in Washington state.
This document is used for obtaining an order to approve continued out-of-home care for a child with a developmental disability in Washington.
This document is used to provide information about collateral for a loan in Washington state.
This document is used for filing a petition to review the continued out-of-home care of a child with disabilities under the Developmental Disabilities Administration in Washington state.
This form is used for applying for disaster food benefits in the state of Washington.
This form is used for providing collateral information in Washington State. It is available in Arabic language.
This form is used for requesting a placement review for a child with a developmental disability outside of the home in Washington state.
This form is used for reviewing the incapacity for medical care services in Washington. It is available in Arabic.
This form is used for creating an Individual Responsibility Plan as part of the Workfirst program in Washington state. It is available in Pashto language.
This is a form used in Washington state to provide information about collateral for a loan. It may be specifically for individuals of Cambodian descent.
This form is used for conducting a periodic review of an individual service plan under the Developmental Disabilities Administration (DDA) in Washington.
This form is used for the Incapacity Review for Medical Care Services in Washington for individuals who speak Cambodian.
This form is used for providing information about collateral for financial assistance in Washington state. It is available in Chinese language.
This document is used to provide collateral information in Washington state. It is available in Farsi.
This document is used for creating an Individual Responsibility Plan for Workfirst program participants in Washington state. It is available in Punjabi language.
This document is a Child Support Referral form used in Washington state for Lao-speaking individuals. It is used to refer cases for child support services.
This document provides information about collateral for a loan or debt in the state of Washington.
This document form is used to provide information about the collateral for a loan or credit agreement in the state of Washington. It is available in Korean language.
This document is used to provide collateral information for individuals in Washington (Lao).