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 Somali. 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 in Washington.
Q: Who is required to complete DSHS Form 13-734?
A: Individuals who are applying for or receiving Medicaid benefits in Washington and are Somali speakers are required to complete this form.
Q: What is the purpose of DSHS Form 13-734?
A: The purpose of this form is to document an individual's first use of Medicaid benefits in Washington.
Q: Is DSHS Form 13-734 only available in Somali?
A: Yes, DSHS Form 13-734 is specifically designed for Somali speakers in Washington.
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.