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 Cambodian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 14-401?
A: DSHS Form 14-401 is the Notification of Address Disclosure Request form.
Q: What is Part 1 of DSHS Form 14-401 used for?
A: Part 1 of DSHS Form 14-401 is used for notifying the Department of Social and Health Services (DSHS) in Washington about a request to disclose your address.
Q: Who should use DSHS Form 14-401?
A: Anyone who wants to request or notify DSHS about the disclosure of their address in Washington can use DSHS Form 14-401.
Q: Is DSHS Form 14-401 specific to a certain language?
A: No, DSHS Form 14-401 is available in multiple languages, including Cambodian.
Q: Is DSHS Form 14-401 required to be filled out?
A: If you want to request or notify DSHS about the disclosure of your address, it is recommended to fill out DSHS Form 14-401.
Q: Are there any fees associated with submitting DSHS Form 14-401?
A: No, submitting DSHS Form 14-401 does not require any fees.
Form Details:
Download a printable version of DSHS Form 14-401 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.