DSHS Form 13-734 Documentation of First Use of Medicaid Benefits (Dda) - Washington (Chinese)

DSHS Form 13-734 Documentation of First Use of Medicaid Benefits (Dda) - Washington (Chinese)

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 Chinese. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 13-734?
A: DSHS Form 13-734 is a documentation form for the first use of Medicaid benefits for Developmental Disabilities Administration (DDA) in Washington State.

Q: Who is required to fill out DSHS Form 13-734?
A: Individuals who are applying for or receiving Medicaid benefits for DDA in Washington State are required to fill out DSHS Form 13-734.

Q: What is the purpose of DSHS Form 13-734?
A: The purpose of DSHS Form 13-734 is to document the first use of Medicaid benefits for DDA in Washington State.

Q: Do I need to provide documentation for the first use of Medicaid benefits for DDA?
A: Yes, you need to provide documentation using DSHS Form 13-734 for the first use of Medicaid benefits for DDA in Washington State.

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Form Details:

  • Released on June 1, 2008;
  • 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;

Download a printable version of DSHS Form 13-734 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 13-734 Documentation of First Use of Medicaid Benefits (Dda) - Washington (Chinese)

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