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 the DSHS Form 14-426?
A: The DSHS Form 14-426 is a Protective Payee Payment Plan, Case Assignment, and Closure Notice.
Q: What is the purpose of this form?
A: The purpose of this form is to provide information about protective payee payment plans, case assignments, and closure notices.
Q: Who uses this form?
A: This form is used by the Department of Social and Health Services (DSHS) in Washington.
Q: What does a protective payee payment plan involve?
A: A protective payee payment plan involves assigning a payee to manage the funds for a person who is unable to manage their own finances.
Q: What does a case assignment mean?
A: A case assignment means that the DSHS has assigned a case manager to oversee a person's benefits and services.
Q: What is a closure notice?
A: A closure notice is a notification from the DSHS that a case has been closed, meaning that the person is no longer receiving benefits or services from the department.
Form Details:
Download a printable version of DSHS Form 14-426 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.