DSHS Form 15-422 No Services Paid Group - Washington (Cambodian)

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 Cambodian. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 15-422?
A: DSHS Form 15-422 is a form used by the Washington State Department of Social and Health Services (DSHS) for individuals or groups to report that no services were paid or used.

Q: Who can use DSHS Form 15-422?
A: Any individual or group who did not use or receive any services that were paid for by DSHS can use this form.

Q: What is the purpose of DSHS Form 15-422?
A: The purpose of this form is to notify DSHS that no services were paid or used, preventing any possible incorrect billing or misunderstandings.

Q: Is DSHS Form 15-422 specific to a certain language or ethnicity?
A: Yes, the form specified in the document is for Cambodian language speakers in Washington State.

Q: Do I need to fill out DSHS Form 15-422 if I did not use any services?
A: If you did not use or receive any services paid for by DSHS, it is recommended to fill out this form to ensure accurate records.

Q: What should I do if I have questions about DSHS Form 15-422?
A: If you have any questions or need assistance with this form, you can contact the Washington State DSHS directly for guidance.