DSHS Form 10-378 Notification of Age Ten (10) Eligibility Expiration - Washington

What Is DSHS Form 10-378?

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 10-378?
A: DSHS Form 10-378 is the Notification of Age Ten (10) Eligibility Expiration form.

Q: What is the purpose of DSHS Form 10-378?
A: The purpose of DSHS Form 10-378 is to notify individuals that their eligibility for certain benefits will expire when they turn ten years old.

Q: Who needs to fill out DSHS Form 10-378?
A: This form needs to be filled out by the parent or guardian of a child who is receiving benefits and will turn ten years old.

Q: What benefits are affected by DSHS Form 10-378?
A: Benefits such as food assistance (SNAP), cash assistance (TANF), and medical coverage (Apple Health) may be affected by this form.

Q: When should DSHS Form 10-378 be submitted?
A: DSHS Form 10-378 should be submitted at least 7 days before the child's 10th birthday to ensure continuity of benefits.

Q: What information is required on DSHS Form 10-378?
A: The form requires basic information about the child and the parent or guardian, including their names, contact information, and Social Security numbers.

Q: What happens if DSHS Form 10-378 is not submitted?
A: If the form is not submitted, the child's eligibility for benefits may expire and they may no longer receive the assistance they are currently receiving.

Q: Who can I contact for assistance with DSHS Form 10-378?
A: You can contact your local Department of Social and Health Services (DSHS) office for assistance with filling out the form or if you have any questions.