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 DSHS Form 05-013?
A: DSHS Form 05-013 is a request form for a hearing in Washington state.
Q: What is the purpose of DSHS Form 05-013?
A: The purpose of DSHS Form 05-013 is to request a hearing regarding a decision made by the Washington State Department of Social and Health Services (DSHS).
Q: Who can use DSHS Form 05-013?
A: Anyone who wants to appeal a decision made by DSHS in Washington state can use DSHS Form 05-013.
Q: Is DSHS Form 05-013 available in Vietnamese?
A: Yes, DSHS Form 05-013 is available in Vietnamese.
Q: What information is required on DSHS Form 05-013?
A: DSHS Form 05-013 requires information such as your name, address, phone number, the decision being appealed, and the reasons for the appeal.
Q: How do I submit DSHS Form 05-013?
A: You can submit DSHS Form 05-013 by mail, fax, or in person at your local DSHS office.
Q: Can I get assistance in filling out DSHS Form 05-013?
A: Yes, you can get assistance in filling out DSHS Form 05-013 from a DSHS office or by contacting the DSHS Customer Service Center.
Q: What happens after I submit DSHS Form 05-013?
A: After you submit DSHS Form 05-013, you will receive a notice with the date, time, and location of your hearing.
Q: What should I bring to the hearing?
A: You should bring any documents or evidence that support your case to the hearing.
Form Details:
Download a printable version of DSHS Form 05-013 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.