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 Cambodian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 02-528?
A: DSHS Form 02-528 is an Administrative Hearing Withdrawal form used in Washington.
Q: What is the purpose of the form?
A: The form is used to withdraw a request for an administrative hearing.
Q: Who can use this form?
A: This form can be used by individuals who have requested an administrative hearing with the Department of Social and Health Services (DSHS) in Washington.
Q: Is this form specific to the Cambodian language?
A: Yes, this form is available in the Cambodian language.
Q: What should I do with the completed form?
A: You should submit the completed form to the appropriate DSHS office or follow the instructions provided on the form.
Form Details:
Download a printable version of DSHS Form 02-528 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.