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.
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.
Form Details:
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.