DSHS Form 15-474 Notification of Age 20 Eligibility Expiration - Washington

DSHS Form 15-474 Notification of Age 20 Eligibility Expiration - Washington

What Is DSHS Form 15-474?

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 15-474?
A: DSHS Form 15-474 is the Notification of Age 20 Eligibility Expiration form in Washington.

Q: Who needs to fill out DSHS Form 15-474?
A: This form needs to be filled out by individuals in Washington whose eligibility for certain DSHS programs will expire once they turn 20 years old.

Q: What is the purpose of DSHS Form 15-474?
A: The purpose of this form is to notify individuals in Washington that their eligibility for DSHS programs will be ending once they turn 20 years old.

Q: What should I do after filling out DSHS Form 15-474?
A: After filling out the form, you should submit it to the Department of Social and Health Services (DSHS) in Washington according to the instructions provided on the form.

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Form Details:

  • Released on August 1, 2015;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • 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 15-474 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 15-474 Notification of Age 20 Eligibility Expiration - Washington

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