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 Polish. 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 the eligibility review of long term services and supports in Washington.
Q: Who is eligible for long term services and supports in Washington?
A: Eligibility for long term services and supports in Washington is determined based on various factors, including income, assets, and level of need.
Q: What does the eligibility review process involve?
A: The eligibility review process involves filling out DSHS Form 14-416, providing supporting documentation, and undergoing a comprehensive assessment of needs.
Q: Can I get long term services and supports if I have a high income?
A: Income is one of the factors considered in determining eligibility for long term services and supports. If your income is above the eligibility threshold, you may not qualify.
Q: What are long term services and supports?
A: Long term services and supports refer to a range of services and assistance that help individuals with functional limitations or chronic illnesses live as independently as possible in their communities.
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.