DSHS Form 27-096 Permission to Share Documents for Reimbursement of Medical Expenses - Washington (Tagalog)

DSHS Form 27-096 Permission to Share Documents for Reimbursement of Medical 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 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.

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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 27-096 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 27-096 Permission to Share Documents for Reimbursement of Medical Expenses - Washington (Tagalog)

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