This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 14-113 for the current year.
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 Trukese. 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 regarding cash and food assistance in Washington.
Q: Who is this form for?
A: This form is for individuals in Washington who are receiving or applying for cash and food assistance benefits.
Q: What does this form cover?
A: This form covers important information about your rights and responsibilities as a recipient of cash and food assistance benefits in Washington.
Q: What do my rights include?
A: Your rights include the right to be treated with respect, the right to have your application reviewed in a timely manner, and the right to appeal any decisions made regarding your benefits.
Q: What are my responsibilities?
A: Your responsibilities include providing accurate and complete information, reporting any changes in your circumstances, and participating in required interviews or assessments.
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.