DSHS Form 27-168 Authorization of Disclosure (Economic Services Administration) - Washington (Lao)

DSHS Form 27-168 Authorization of Disclosure (Economic Services Administration) - Washington (Lao)

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 Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 27-168?
A: DSHS Form 27-168 is the Authorization of Disclosure form.

Q: What is Economic Services Administration?
A: Economic Services Administration is a department within Washington state's Department of Social and Health Services (DSHS).

Q: What is the purpose of DSHS Form 27-168?
A: The purpose of DSHS Form 27-168 is to authorize the disclosure of personal information in relation to economic services.

Q: Who needs to fill out DSHS Form 27-168?
A: Individuals who receive economic services from Washington's Department of Social and Health Services may need to fill out this form.

Q: What information is disclosed through DSHS Form 27-168?
A: DSHS Form 27-168 may disclose personal information such as income, assets, and other relevant details for the purpose of determining eligibility for economic services.

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Form Details:

  • Released on June 1, 2018;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of DSHS Form 27-168 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 27-168 Authorization of Disclosure (Economic Services Administration) - Washington (Lao)

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  • DSHS Form 27-168 Authorization of Disclosure (Economic Services Administration) - Washington (Lao), Page 1
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