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 Somali. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the DSHS Form 14-541?
A: DSHS Form 14-541 is a Medical Report required for Abawd (Able-Bodied Adults Without Dependents) in Washington State.
Q: What is an Abawd?
A: An Abawd refers to an Able-Bodied Adult Without Dependents.
Q: Who needs to complete the DSHS Form 14-541?
A: Abawd recipients in Washington State need to complete the DSHS Form 14-541.
Q: What is the purpose of the DSHS Form 14-541?
A: The DSHS Form 14-541 is used to collect medical information to determine an individual's eligibility for Abawd benefits.
Q: Do I need to complete the DSHS Form 14-541 in Somali?
A: Yes, if you prefer to complete the form in Somali, a Somali version of the DSHS Form 14-541 is available.
Q: What information is required in the DSHS Form 14-541?
A: The DSHS Form 14-541 requires information about your medical condition, treatment, and any limitations or restrictions in your ability to work.
Q: Do I need to submit the DSHS Form 14-541 every time I apply for Abawd benefits?
A: No, the DSHS Form 14-541 is typically required to be submitted once, unless there are significant changes in your medical condition.
Form Details:
Download a printable version of DSHS Form 14-541 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.