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DSHS Form 04-220A Indian Heritage Questionnaire - Washington
What Is DSHS Form 04-220A?
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 04-220A?
A: DSHS Form 04-220A is the Indian Heritage Questionnaire used in Washington.
Q: Why is the Indian Heritage Questionnaire used?
A: The Indian Heritage Questionnaire is used to determine if an individual qualifies for Native American benefits and services.
Q: Who uses the Indian Heritage Questionnaire?
A: The Indian Heritage Questionnaire is used by the Washington State Department of Social and Health Services (DSHS).
Q: What information is collected in the Indian Heritage Questionnaire?
A: The Indian Heritage Questionnaire collects information about an individual's Native American heritage, tribal affiliation, and eligibility for Native American programs.
Form Details:
- Released on April 1, 2017;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Available in Spanish;
- 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 04-220A 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 04-220A Indian Heritage Questionnaire - Washington
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