DSHS Form 02-611 Statement of Understanding: Mid-certification Review - Washington

DSHS Form 02-611 Statement of Understanding: Mid-certification Review - Washington

What Is DSHS Form 02-611?

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 DSHS?
A: DSHS stands for the Washington State Department of Social and Health Services.

Q: What is Form 02-611?
A: Form 02-611 is a statement of understanding for the Mid-certification Review process.

Q: What is the Mid-certification Review?
A: The Mid-certification Review is a process where the DSHS reviews the eligibility of individuals receiving benefits.

Q: Who needs to complete Form 02-611?
A: Individuals undergoing the Mid-certification Review need to complete Form 02-611.

Q: What does Form 02-611 do?
A: Form 02-611 ensures that individuals understand the Mid-certification Review process and their responsibilities during the review.

Q: What happens if I don't complete Form 02-611?
A: Failure to complete Form 02-611 may result in a delay or termination of your benefits.

Q: Do I need to submit any documents with Form 02-611?
A: You may need to submit additional documents, such as proof of income or residency, along with Form 02-611.

Q: Can I get help filling out Form 02-611?
A: Yes, you can seek assistance from DSHS staff or community organizations to help you fill out Form 02-611.

Q: Is Form 02-611 only for residents of Washington?
A: Yes, Form 02-611 is specific to residents of Washington who receive benefits through DSHS.

ADVERTISEMENT

Form Details:

  • Released on June 1, 2015;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • 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 02-611 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 02-611 Statement of Understanding: Mid-certification Review - Washington

4.8 of 5 (22 votes)
  • DSHS Form 02-611 Statement of Understanding: Mid-certification Review - Washington, Page 1
ADVERTISEMENT