DSHS Form 18-681 HE Request for Collection of Uninsured Health Care Expenses - Washington (Hebrew)

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

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 18-681 HE by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.