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This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 14-503
for the current year.
DSHS Form 14-503 Interim Assitance Reimbursement Agreement Cover - Washington
What Is DSHS Form 14-503?
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?
A: DSHS stands for the Department of Social and Health Services.
Q: What does Form 14-503 cover?
A: Form 14-503 is an Interim Assistance Reimbursement Agreement Cover form in Washington.
Q: What is the purpose of Form 14-503?
A: The purpose of Form 14-503 is to establish an agreement for the reimbursement of interim assistance provided by DSHS.
Q: Who is eligible for reimbursement under Form 14-503?
A: Individuals who received interim assistance from DSHS and are eligible for federal benefits may be eligible for reimbursement under this form.
Q: What is interim assistance?
A: Interim assistance is the temporary financial aid provided by DSHS to eligible individuals awaiting approval of their federal benefits.
Q: Is the reimbursement under Form 14-503 automatic?
A: No, individuals need to apply for reimbursement by completing and submitting Form 14-503.
Form Details:
- Released on September 1, 2011;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Available in Punjabi;
- 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 14-503 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
