DSHS Form 18-484 Automatic Payment Authorization and Electronic Funds Transfer Information - Washington (Vietnamese)

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.

FAQ

Q: What is DSHS Form 18-484?
A: DSHS Form 18-484 is the Automatic Payment Authorization and Electronic Funds Transfer Information form used in Washington.

Q: What is the purpose of DSHS Form 18-484?
A: The purpose of DSHS Form 18-484 is to authorize automatic payments and provide electronic funds transfer information.

Q: Who uses DSHS Form 18-484?
A: DSHS Form 18-484 is used by individuals in Washington who want to authorize automatic payments and provide electronic funds transfer information to the Department of Social and Health Services (DSHS).

Q: What information is required on DSHS Form 18-484?
A: DSHS Form 18-484 requires information such as bank account details, payment amount, payment frequency, and personal details of the individual.

Q: Are there any fees associated with using DSHS Form 18-484?
A: No, there are no fees associated with using DSHS Form 18-484.

Q: Can I cancel or change my automatic payment authorization?
A: Yes, you can cancel or change your automatic payment authorization by notifying the Department of Social and Health Services (DSHS) in writing.

Q: Is DSHS Form 18-484 available in languages other than English?
A: Yes, DSHS Form 18-484 is available in Vietnamese, as stated in the document title.

Q: Is DSHS Form 18-484 specific to Washington?
A: Yes, DSHS Form 18-484 is specific to Washington.

Q: Is DSHS Form 18-484 mandatory?
A: No, DSHS Form 18-484 is optional, but it can be useful for individuals who want to authorize automatic payments and provide electronic funds transfer information to DSHS.