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.
Q: What is DSHS Form 27-096?
A: DSHS Form 27-096 is a permission form to share documents for reimbursement of medical expenses.
Q: What is the purpose of DSHS Form 27-096?
A: The purpose of DSHS Form 27-096 is to authorize the sharing of documents for reimbursement of medical expenses.
Q: Who is required to fill out DSHS Form 27-096?
A: Anyone seeking reimbursement for medical expenses through the Washington Department of Social and Health Services (DSHS) must fill out DSHS Form 27-096.
Q: Is DSHS Form 27-096 available in Tagalog?
A: Yes, DSHS Form 27-096 is available in Tagalog.
Form Details:
Download a printable version of DSHS Form 27-096 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.