DSHS Form 01-110 Protective Payee Report - Washington

DSHS Form 01-110 Protective Payee Report - Washington

What Is DSHS Form 01-110?

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 01-110?
A: DSHS Form 01-110 is the Protective Payee Report used in Washington.

Q: Who uses DSHS Form 01-110?
A: The DSHS Form 01-110 is used by protective payees in Washington.

Q: What is a protective payee?
A: A protective payee is a person appointed by DSHS to manage Social Security or SSI benefits on behalf of a recipient who is unable to manage their finances.

Q: What information is included in DSHS Form 01-110?
A: DSHS Form 01-110 includes information about the recipient, their financial situation, and the payee's management of their benefits.

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Form Details:

  • Released on February 1, 1999;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • 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 01-110 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 01-110 Protective Payee Report - Washington

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