DSHS Form 12-212 Waiver of Administrative Disqualification Hearing - Washington

DSHS Form 12-212 Waiver of Administrative Disqualification Hearing - Washington

What Is DSHS Form 12-212?

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 12-212?
A: DSHS Form 12-212 is a waiver of administrative disqualification hearing form.

Q: What is an administrative disqualification hearing?
A: An administrative disqualification hearing is a process in which a person's eligibility for certain benefits is reviewed.

Q: What does the waiver of administrative disqualification hearing form do?
A: The form allows an individual to waive their right to a hearing and accept the disqualification.

Q: Why would someone want to waive their right to an administrative disqualification hearing?
A: Someone might choose to waive their right if they agree with the disqualification and do not want to go through the hearing process.

Q: Is the waiver of administrative disqualification hearing form mandatory?
A: No, the form is optional and individuals can choose whether or not to waive their right to a hearing.

Q: What happens after submitting the waiver of administrative disqualification hearing form?
A: After submitting the form, the disqualification will be accepted and the individual's benefits may be affected accordingly.

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Form Details:

  • Released on August 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 Korean;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of DSHS Form 12-212 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 12-212 Waiver of Administrative Disqualification Hearing - Washington

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