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 Cambodian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the DSHS Form 09-013?
A: The DSHS Form 09-013 is the Vendor Affidavit of Lost, Stolen, or Destroyed Warrant.
Q: What is the purpose of the DSHS Form 09-013?
A: The purpose of the DSHS Form 09-013 is to report the loss, theft, or destruction of a warrant.
Q: Who needs to fill out the DSHS Form 09-013?
A: Vendors who have lost, had stolen, or destroyed a warrant in Washington, including Cambodian vendors, need to fill out this form.
Q: Is the DSHS Form 09-013 only for Cambodian vendors?
A: No, the DSHS Form 09-013 is for all vendors in Washington, regardless of their nationality.
Q: What information do I need to provide on the DSHS Form 09-013?
A: You will need to provide details about the lost, stolen, or destroyed warrant, including the warrant number, amount, and the circumstances of the loss or theft.
Q: What should I do with the completed DSHS Form 09-013?
A: You should submit the completed form to the appropriate department or agency as instructed on the form.
Q: Are there any deadlines for submitting the DSHS Form 09-013?
A: Yes, please refer to the form and any accompanying instructions for the deadline for submitting the form.
Q: Does filling out the DSHS Form 09-013 guarantee reimbursement?
A: Filling out the DSHS Form 09-013 does not guarantee reimbursement. The department or agency will review your claim and determine whether reimbursement is applicable.
Form Details:
Download a printable version of DSHS Form 09-013 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.