DSHS Form 14-401A Notification of Address Disclosure Request - Part 2 - Washington (Cambodian)

DSHS Form 14-401A Notification of Address Disclosure Request - Part 2 - Washington (Cambodian)

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.

FAQ

Q: What is DSHS Form 14-401A?
A: DSHS Form 14-401A is a notification form used in Washington State to disclose address information.

Q: What is the purpose of DSHS Form 14-401A?
A: The purpose of DSHS Form 14-401A is to notify individuals that their address information may be disclosed to certain entities.

Q: Who should use DSHS Form 14-401A?
A: Any individual in Washington State who wants to be notified about address disclosure requests should use this form.

Q: What does Part 2 of DSHS Form 14-401A cover?
A: Part 2 of DSHS Form 14-401A covers address disclosure requests specifically for Cambodian language speakers.

Q: Is DSHS Form 14-401A only for Cambodian language speakers?
A: No, while Part 2 of the form is specific to Cambodian language speakers, the form can be used by individuals who speak other languages as well.

Q: Is DSHS Form 14-401A mandatory?
A: No, filling out DSHS Form 14-401A is not mandatory. It is up to the individual's discretion whether to submit the form or not.

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Form Details:

  • Released on October 1, 1995;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of DSHS Form 14-401A by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

Download DSHS Form 14-401A Notification of Address Disclosure Request - Part 2 - Washington (Cambodian)

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  • DSHS Form 14-401A Notification of Address Disclosure Request - Part 2 - Washington (Cambodian), Page 1
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