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 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.
Form Details:
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.