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 Korean. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 14-050?
A: DSHS Form 14-050 is a form used by the Washington State Department of Social and Health Services (DSHS) to gather information about a person's health, education, and employment.
Q: Who uses DSHS Form 14-050?
A: This form is used by individuals in Washington who are applying for or receiving government assistance programs such as Medicaid, food stamps, or cash assistance.
Q: What kind of information does DSHS Form 14-050 ask for?
A: The form asks for information about the applicant's health, including medical conditions and impairments, as well as information about their education and employment history.
Q: Do I need to fill out DSHS Form 14-050 if I don't receive government assistance?
A: No, this form is specifically for individuals applying for or receiving government assistance programs in Washington.
Q: Can I get help filling out DSHS Form 14-050?
A: Yes, you can ask for assistance from DSHS staff or community organizations if you need help filling out the form.
Form Details:
Download a printable version of DSHS Form 14-050 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.