DSHS Form 03-076 Employee Personal Property Damage / Loss Claim - Washington

What Is DSHS Form 03-076?

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 03-076?
A: DSHS Form 03-076 is the Employee Personal Property Damage/Loss Claim form used in Washington.

Q: What is the purpose of DSHS Form 03-076?
A: The purpose of DSHS Form 03-076 is to file a claim for personal property damage or loss experienced by an employee.

Q: Who can use DSHS Form 03-076?
A: DSHS Form 03-076 can be used by employees of the Washington State Department of Social and Health Services (DSHS).

Q: What can I file a claim for with DSHS Form 03-076?
A: You can file a claim for personal property damage or loss that occurs while performing duties as an employee of DSHS.

Q: How do I fill out DSHS Form 03-076?
A: To fill out DSHS Form 03-076, provide your personal information, describe the damage/loss, include supporting documentation, and submit the form to DSHS.

Q: What documentation should I provide with DSHS Form 03-076?
A: You should provide any relevant documentation such as receipts, repair estimates, or photographs that support your claim.

Q: What happens after I submit DSHS Form 03-076?
A: After you submit DSHS Form 03-076, it will be reviewed by DSHS, and you will be notified of the decision regarding your claim.