DSHS Form 14-401A Notification of Address Disclosure Request - Part 2 - Washington

DSHS Form 14-401A Notification of Address Disclosure Request - Part 2 - Washington

What Is DSHS Form 14-401A?

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 Form 14-401A?
A: Form 14-401A is the Notification of Address Disclosure Request form.

Q: What is the purpose of Form 14-401A?
A: Form 14-401A is used to request an address disclosure from the Department of Social and Health Services (DSHS) in Washington State.

Q: Who can use Form 14-401A?
A: Anyone who wants to request an address disclosure from DSHS in Washington State can use Form 14-401A.

Q: What information is required on Form 14-401A?
A: Form 14-401A requires the requester's name, contact information, and the reason for the address disclosure request.

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Form Details:

  • Released on October 1, 1995;
  • 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 14-401A 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 14-401A Notification of Address Disclosure Request - Part 2 - Washington

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  • DSHS Form 14-401A Notification of Address Disclosure Request - Part 2 - Washington, Page 1
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