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 Hungarian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 14-416?
A: DSHS Form 14-416 is a form used for an eligibility review for Long Term Services and Supports in Washington.
Q: What is the purpose of DSHS Form 14-416?
A: The purpose of DSHS Form 14-416 is to determine if an individual is eligible for Long Term Services and Supports in Washington.
Q: Who uses DSHS Form 14-416?
A: DSHS Form 14-416 is used by individuals who are seeking Long Term Services and Supports in Washington.
Q: Who can help me fill out DSHS Form 14-416?
A: You can seek assistance from a DSHS representative or a qualified social worker to help you fill out DSHS Form 14-416.
Form Details:
Download a printable version of DSHS Form 14-416 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.