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 Hmong. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 14-113?
A: DSHS Form 14-113 is a document that outlines your rights and responsibilities when receiving cash and food assistance in Washington.
Q: What does the form cover?
A: The form covers important information about your eligibility, reporting requirements, and the types of assistance programs available.
Q: Who is this form for?
A: This form is specific to individuals who speak Hmong and are applying for or currently receiving cash and food assistance in Washington.
Q: What are my rights when receiving assistance?
A: You have the right to apply for benefits, receive a fair determination of eligibility, and be treated with respect and fairness throughout the process.
Q: What are my responsibilities when receiving assistance?
A: Your responsibilities include reporting any changes in your circumstances that may affect your eligibility and complying with program rules and regulations.
Q: Can I get assistance if I don't speak Hmong?
A: Yes, assistance is available for individuals who speak languages other than Hmong. You can contact DSHS for further information on available language assistance.
Q: What should I do if I need help understanding the form?
A: If you need help understanding the form, you can reach out to DSHS for assistance. They can provide language interpretation services or other support to help you understand your rights and responsibilities.
Form Details:
Download a printable version of DSHS Form 14-113 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.