This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 14-076 for the current year.
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.
Q: What is DSHS Form 14-076?
A: DSHS Form 14-076 is a Change of Circumstances form used in Washington.
Q: When do I need to use DSHS Form 14-076?
A: You need to use DSHS Form 14-076 when your circumstances change and you need to update your information with the Washington Department of Social and Health Services (DSHS).
Q: What information do I need to provide on DSHS Form 14-076?
A: You will need to provide information about your changed circumstances, such as income, household members, and other relevant details.
Q: How do I submit DSHS Form 14-076?
A: You can submit DSHS Form 14-076 by mail, fax, or in person at your local DSHS office.
Q: Is there a deadline for submitting DSHS Form 14-076?
A: There is no specific deadline mentioned for submitting DSHS Form 14-076, but it is recommended to submit the form as soon as possible after your circumstances change.
Q: What happens after I submit DSHS Form 14-076?
A: After you submit DSHS Form 14-076, your updated information will be reviewed by the Washington Department of Social and Health Services (DSHS) and any necessary changes to your benefits will be made.
Q: Can I get help filling out DSHS Form 14-076?
A: Yes, you can seek assistance from the Washington Department of Social and Health Services (DSHS) or other community organizations to help you fill out DSHS Form 14-076.
Form Details:
Download a printable version of DSHS Form 14-076 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.