DSHS Form 14-514 Your Responsibility to Pay Towards Costs of Care at the Residential Habilitation Center - Washington

DSHS Form 14-514 Your Responsibility to Pay Towards Costs of Care at the Residential Habilitation Center - Washington

What Is DSHS Form 14-514?

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 Form 14-514?
A: DSHS Form 14-514 is a form that outlines your responsibility to pay towards the costs of care at the Residential Habilitation Center in Washington.

Q: What is the Residential Habilitation Center?
A: The Residential Habilitation Center is a facility in Washington that provides care and support for individuals with disabilities.

Q: Who is responsible for paying towards the costs of care at the Residential Habilitation Center?
A: You, as the individual receiving care, are responsible for paying towards the costs of care at the Residential Habilitation Center.

Q: What does DSHS stand for?
A: DSHS stands for the Department of Social and Health Services.

Q: Is payment towards the costs of care at the Residential Habilitation Center mandatory?
A: Yes, payment towards the costs of care at the Residential Habilitation Center is mandatory.

Q: What if I cannot afford to pay towards the costs of care at the Residential Habilitation Center?
A: If you cannot afford to pay towards the costs of care, you may be eligible for financial assistance or a payment plan. Contact the Department of Social and Health Services for more information.

Q: Are there any exceptions to the payment requirement?
A: There may be exceptions to the payment requirement based on your income or other circumstances. Contact the Department of Social and Health Services for more information.

Q: What happens if I do not pay towards the costs of care at the Residential Habilitation Center?
A: If you do not pay towards the costs of care, the Department of Social and Health Services may take legal action to recover the unpaid amount.

Q: Can I appeal a decision regarding my responsibility to pay towards the costs of care?
A: Yes, you have the right to appeal a decision regarding your responsibility to pay towards the costs of care. Contact the Department of Social and Health Services for more information on the appeals process.

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Form Details:

  • Released on November 1, 2014;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • 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 14-514 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 14-514 Your Responsibility to Pay Towards Costs of Care at the Residential Habilitation Center - Washington

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