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 Russian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 18-484?
A: DSHS Form 18-484 is a form used for automatic payment authorization in Washington state.
Q: What does the form authorize?
A: The form authorizes automatic payments for specified services in Washington.
Q: What is the purpose of DSHS Form 18-484?
A: The purpose of the form is to provide a convenient way for individuals to authorize automatic payments for certain services.
Q: Who should use DSHS Form 18-484?
A: Anyone in Washington who wants to authorize automatic payments for specified services should use this form.
Q: Is DSHS Form 18-484 available in Russian?
A: Yes, the form is available in Russian.
Q: Can I use DSHS Form 18-484 in other states?
A: No, this form is specific to Washington state.
Q: Are there any fees associated with using DSHS Form 18-484?
A: No, there are no fees associated with using this form.
Q: How long does it take for automatic payment authorization to take effect?
A: The authorization typically takes effect within 30 days of submitting the form.
Q: Can I cancel or modify the automatic payment authorization?
A: Yes, you can cancel or modify the authorization by submitting a new form to the relevant department.
Q: What services can I use the automatic payment authorization for?
A: The specific services for which you can use this authorization will be listed on the form.
Form Details:
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.