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This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 14-467
for the current year.
DSHS Form 14-467 Mid-certification Review - Washington
What Is DSHS Form 14-467?
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 14-467 Mid-certification Review?
A: It is a form used for mid-certification review in Washington.
Q: Who uses DSHS Form 14-467 Mid-certification Review?
A: It is used by the Washington State Department of Social and Health Services (DSHS).
Q: What is the purpose of DSHS Form 14-467 Mid-certification Review?
A: The purpose is to assess if changes in circumstances or income affect an individual's eligibility for social and health services.
Q: What information is required in DSHS Form 14-467 Mid-certification Review?
A: The form requests information about changes in household composition, income, assets, and expenses.
Q: When should DSHS Form 14-467 Mid-certification Review be completed?
A: It should be completed in the middle of a certification period, typically every six months.
Form Details:
- Released on January 1, 2018;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of DSHS Form 14-467 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 14-467 Mid-certification Review - Washington
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