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 Vietnamese. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the DSHS Form 13-734?
A: The DSHS Form 13-734 is a documentation form for the first use of Medicaid benefits for DDA (Developmental Disabilities Administration) in Washington.
Q: Who needs to complete the DSHS Form 13-734?
A: Individuals who are applying for or receiving DDA services in Washington and are using Medicaid benefits for the first time need to complete this form.
Q: What is the purpose of the DSHS Form 13-734?
A: The purpose of this form is to document the first use of Medicaid benefits for DDA services in Washington.
Q: Are there any instructions or guidelines for completing the DSHS Form 13-734?
A: Yes, the form comes with instructions and guidelines that should be followed carefully while completing it.
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.