DSHS Form 18-484 Automatic Payment Authorization - Washington (Georgian)

DSHS Form 18-484 Automatic Payment Authorization - Washington (Georgian)

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 Georgian. 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 a form for automatic payment authorization in Washington (Georgian).

Q: What is the purpose of DSHS Form 18-484?
A: The purpose of DSHS Form 18-484 is to authorize automatic payments for services in Washington (Georgian).

Q: How can I obtain DSHS Form 18-484?
A: You can obtain DSHS Form 18-484 by contacting the Department of Social and Health Services in Washington (Georgian).

Q: What information is required on DSHS Form 18-484?
A: DSHS Form 18-484 requires information such as the recipient's name, address, and payment details.

Q: Can I use DSHS Form 18-484 for automatic payments in other states?
A: No, DSHS Form 18-484 is specific to Washington (Georgian) and cannot be used for automatic payments in other states.

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Form Details:

  • Released on March 1, 2016;
  • 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 18-484 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 18-484 Automatic Payment Authorization - Washington (Georgian)

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