12624
This document is used for providing information about collateral in the Nepali language when applying for certain benefits with the Washington State Department of Social and Health Services (DSHS).
This Form is used for completing an annual assessment checklist for individuals with developmental disabilities in Washington state under the Developmental Disability Administration.
This type of document, DSHS Form 14-381 Workfirst Individual Responsibility Plan, is used for creating a plan for individuals participating in the Workfirst program in Washington state. This specific version is in Russian.
This Form is used for recording and tracking vehicle trips for individuals with developmental disabilities in Washington state.
This form is used for requesting access to medical records in Washington State.
This form is used for reporting and documenting the breakdown of unmet needs in the state of Washington as part of the DSHS (Department of Social and Health Services) program.
This form is used for providing collateral information in Washington state. It is specifically available in Russian language.
This Form is used for making a Protective Payee Decision in Washington State.
This Form is used for declaring resources and expenses in Washington state. It is available in Tigrinya language.
This form is used for declaring community resources in the state of Washington. It helps individuals access necessary support and services.
This type of document is a Noncustodial Parent Child Support Enforcement Application form used in the state of Washington by the Department of Social and Health Services (DSHS). It is used to apply for child support enforcement services for noncustodial parents.
This type of document is used to notify individuals of an exception to a rule decision in Washington, specifically for Chinese-speaking individuals.
This form is used for managing protective payee payment plans, case assignments, and closure notices in the state of Washington.
This Form is used for notifying individuals who received an exception to a rule decision in Washington state. It is available in Kirundi language for the convenience of those who speak it.
This document is a form used by the Washington Department of Social and Health Services (DSHS) for making a decision about a protective payee. It is translated into Korean.
This form is used for notifying individuals of an exception to a rule decision in Washington. It is available in Korean.
This Form is used for making decisions about a protective payee for individuals in Washington with limited ability to manage their own financial affairs.
This document is a medical report used for determining the eligibility of able-bodied adults without dependents for certain benefits in the state of Washington.
This form is used for notifying individuals in Washington (Lao) about exceptions to rule decisions made by the Department of Social and Health Services (DSHS).
This form is used for notifying individuals in Washington about exceptions to rule decisions made by the Department of Social and Health Services. It is available in Russian language.
This form is used for authorizing automatic payments and providing information for electronic funds transfers in the state of Washington.
This form is used for noncustodial parents in Washington who want to apply for child support enforcement. It is specifically provided in Korean language.
This document is a sign-up sheet for specialty training programs offered by DDA (Developmental Disabilities Administration) in Washington state.
This Form is used for applying for Child Support Enforcement in the state of Washington for noncustodial parents.
This document is an official notice from the Washington State Department of Social and Health Services. It notifies individuals of an exception to a rule decision and is written in the Vietnamese language.
This Form is used for creating a Protective Payee Payment Plan and notifying the closure of a case in Washington for Marshallese residents.
This form is used for requesting the disclosure of address information in the state of Washington.
This form is used for reporting instances of noncooperation with chemical dependency treatment in the state of Washington.
This Form is used for preparing an assisted living facility for pre-inspection in the state of Washington. It is an attachment to DSHS Form 10-359.
This form is used for creating a resident list for assisted living facilities in Washington state.
This document is used for the Interim Assistance Reimbursement Agreement Cover in Washington state. It is available in Punjabi language.
This Form is used for authorizing certain actions or permissions in Washington state. It is available in Korean language.
This form is used for conducting interviews with contacts in assisted living facilities in the state of Washington.
This form is used for referring volunteers to provide chore services in Washington through the DSHS Volunteer Chore Service program.