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 Trukese. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 14-222?
A: DSHS Form 14-222 is a Statement of Collateral Information specific to the state of Washington for individuals who speak Trukese.
Q: Who needs to fill out DSHS Form 14-222?
A: Individuals who speak Trukese and are applying for or receiving benefits from the Washington State Department of Social and Health Services (DSHS) need to fill out this form.
Q: What is the purpose of DSHS Form 14-222?
A: The form is used to collect information about any collateral (assets or property) that an individual applying for or receiving benefits may have, which could affect their eligibility.
Q: What information do I need to provide on DSHS Form 14-222?
A: You will need to provide details about your collateral, such as its type, value, and ownership. You may also need to provide supporting documents, such as titles or deeds.
Q: Are there any fees associated with DSHS Form 14-222?
A: No, there are no fees associated with submitting DSHS Form 14-222.
Q: Do I need to submit DSHS Form 14-222 with my application/renewal?
A: Yes, you need to submit the completed DSHS Form 14-222 along with your application or renewal for benefits.
Q: What happens if I don't submit DSHS Form 14-222?
A: Failure to submit DSHS Form 14-222 when required may result in delays or denial of benefits.
Q: Can someone help me fill out DSHS Form 14-222?
A: Yes, you can seek assistance from DSHS staff or an authorized representative to help you fill out the form.
Form Details:
Download a printable version of DSHS Form 14-222 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.