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.
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.
Form Details:
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.