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DSHS Form 18-681 Request for Collection of Uninsured Health Care Expenses - Washington
What Is DSHS Form 18-681?
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 18-681?
A: DSHS Form 18-681 is a request form for collection of uninsured health care expenses in Washington.
Q: Who can use DSHS Form 18-681?
A: Anyone who has incurred uninsured health care expenses in Washington can use DSHS Form 18-681.
Q: What is the purpose of DSHS Form 18-681?
A: The purpose of DSHS Form 18-681 is to request collection of unpaid health care expenses from responsible parties.
Q: What information is required on DSHS Form 18-681?
A: DSHS Form 18-681 requires information about the unpaid health care services, the responsible party, and any insurance coverage that may be available.
Form Details:
- Released on October 1, 2015;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Available in Tagalog;
- 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 18-681 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 18-681 Request for Collection of Uninsured Health Care Expenses - Washington
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