This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.
The document is provided in Chinese. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 09-052?
A: DSHS Form 09-052 is an Affidavit of Forged Endorsement in the state of Washington.
Q: What is the purpose of DSHS Form 09-052?
A: The purpose of DSHS Form 09-052 is to report a forged endorsement on a payment issued by the Department of Social and Health Services (DSHS) in Washington state.
Q: Who can use DSHS Form 09-052?
A: Any individual or organization who has received a payment from DSHS with a forged endorsement can use this form to report it.
Q: Is DSHS Form 09-052 available in Chinese?
A: Yes, DSHS Form 09-052 is available in Chinese for those who prefer to use it.
Form Details:
Download a printable version of DSHS Form 09-052 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.