DSHS Form 10-377 Notification of Age Four (4) Eligibility Expiration - Washington (Oromo)

DSHS Form 10-377 Notification of Age Four (4) Eligibility Expiration - Washington (Oromo)

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

FAQ

Q: What is DSHS Form 10-377?
A: DSHS Form 10-377 is a notification form regarding the expiration of age four (4) eligibility.

Q: What does DSHS stand for?
A: DSHS stands for the Department of Social and Health Services.

Q: What is the purpose of DSHS Form 10-377?
A: The purpose of this form is to notify individuals about the expiration of their eligibility for certain services at age four (4).

Q: Who is eligible to receive this notification?
A: Individuals who are approaching their fourth birthday and are currently receiving services from DSHS.

Q: What services are affected by this form?
A: The services affected by this form are not specified.

Q: Is there a specific language form available?
A: Yes, DSHS Form 10-377 is available in the Oromo language.

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Form Details:

  • Released on October 1, 2019;
  • 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 10-377 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 10-377 Notification of Age Four (4) Eligibility Expiration - Washington (Oromo)

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