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 Vietnamese. 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 an eligibility review form 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 eligibility for 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 based on various factors such as income, age, and disability.
Q: Is DSHS Form 14-416 available in Vietnamese?
A: Yes, DSHS Form 14-416 is available in Vietnamese.
Q: How can I submit DSHS Form 14-416?
A: You can submit DSHS Form 14-416 by following the instructions provided on the form.
Q: What happens after I submit DSHS Form 14-416?
A: After you submit DSHS Form 14-416, it will be reviewed by the appropriate authorities to determine your eligibility for long-term services and supports in Washington.
Q: Can I appeal if my eligibility for long-term services and supports is denied?
A: Yes, you have the right to appeal if your eligibility for long-term services and supports is denied. You will be provided with information on how tofile an appeal.
Q: Are there any fees associated with long-term services and supports in Washington?
A: There may be fees associated with long-term services and supports in Washington, depending on your income and other factors. The exact fees will be determined during the eligibility review process.
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.