DSHS Form 09-052 Declaracion De Endoso Falsificado - Washington (English / Spanish)

DSHS Form 09-052 Declaracion De Endoso Falsificado - Washington (English / Spanish)

What Is DSHS Form 09-052?

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 09-052?
A: DSHS Form 09-052 is a form used in Washington state for reporting a forged endorsement.

Q: What is a forged endorsement?
A: A forged endorsement refers to someone signing a check or document without authorization.

Q: What is the purpose of DSHS Form 09-052?
A: The purpose of this form is to report a forged endorsement to the Washington State Department of Social and Health Services (DSHS).

Q: Who should use DSHS Form 09-052?
A: Anyone who has discovered a forged endorsement on a document related to DSHS benefits should use this form.

Q: Is DSHS Form 09-052 available in both English and Spanish?
A: Yes, DSHS Form 09-052 is available in both English and Spanish.

Q: What information should be included on DSHS Form 09-052?
A: The form requires information about the person reporting the forged endorsement, details about the document with the forged endorsement, and any supporting evidence.

Q: How should I submit DSHS Form 09-052?
A: The completed form should be submitted to the Washington State Department of Social and Health Services (DSHS) at the address provided on the form.

Q: What happens after submitting DSHS Form 09-052?
A: Once the form is submitted, the Washington State Department of Social and Health Services (DSHS) will review the information and take appropriate action.

Q: Is there a deadline for submitting DSHS Form 09-052?
A: While there is no specific deadline mentioned, it is recommended to report a forged endorsement as soon as it is discovered.

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Form Details:

  • Released on December 1, 2012;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in Cambodian;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

Download DSHS Form 09-052 Declaracion De Endoso Falsificado - Washington (English / Spanish)

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