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 DSHS Form 15-430A Scc Denial Notice?
A: DSHS Form 15-430A Scc Denial Notice is a document issued by the Washington State Department of Social and Health Services (DSHS) to inform individuals of the denial of their Somali Community Connect (SCC) benefits application.
Q: What does SCC stand for?
A: SCC stands for Somali Community Connect.
Q: What does the DSHS Form 15-430A Scc Denial Notice contain?
A: The DSHS Form 15-430A Scc Denial Notice contains information about the reason for denial, any supporting documentation needed, and the steps to appeal the decision.
Form Details:
Download a printable version of DSHS Form 15-430A by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.