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 Chinese. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 27-096 CH?
A: DSHS Form 27-096 CH is a document used in Washington for giving permission to share documents for reimbursement of health care expenses.
Q: Who uses DSHS Form 27-096 CH?
A: This form is used by individuals in Washington who need to authorize the sharing of their health care documents for reimbursement purposes.
Q: What is the purpose of DSHS Form 27-096 CH?
A: The purpose of this form is to grant permission to share health care documents for the reimbursement of medical expenses.
Q: Is DSHS Form 27-096 CH available in Chinese?
A: Yes, DSHS Form 27-096 CH is available in Chinese.
Q: Do I need to fill out DSHS Form 27-096 CH?
A: You will need to fill out this form if you want to authorize the sharing of your health care documents for reimbursement purposes in Washington.
Q: Are there any fees associated with DSHS Form 27-096 CH?
A: There are no fees associated with submitting this form.
Q: What should I do with the completed DSHS Form 27-096 CH?
A: You should submit the completed form to the appropriate DSHS office or entity that requested the form.
Q: Can I make copies of DSHS Form 27-096 CH?
A: Yes, you can make copies of this form for your records or for additional requests for reimbursement.
Q: How long does it take to process DSHS Form 27-096 CH?
A: The processing time for this form may vary, so it is recommended to contact the DSHS office or entity for more information.
Form Details:
Download a printable version of DSHS Form 27-096 CH by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.