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DSHS Form 18-681 Request for Collection of Uninsured Health Care Expenses - Washington (Tagalog)
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 Tagalog. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 18-681?
A: DSHS Form 18-681 is a form used for requesting the collection of uninsured health care expenses in Washington.
Q: Who can use DSHS Form 18-681?
A: Any individual in Washington who is seeking the collection of their uninsured health care expenses can use DSHS Form 18-681.
Q: What does the form collect?
A: The form collects information about the uninsured health care expenses incurred by the individual, including the date, provider, and amount of each expense.
Q: Is there a fee for submitting the form?
A: No, there is no fee for submitting DSHS Form 18-681.
Form Details:
- Released on October 1, 2015;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a printable version of DSHS Form 18-681 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 18-681 Request for Collection of Uninsured Health Care Expenses - Washington (Tagalog)
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