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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 14-113
for the current year.
DSHS Form 14-113 Your Cash and Food Assistance Rights and Responsibilities - Washington (Haitian Creole)
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 Haitian Creole. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 14-113?
A: DSHS Form 14-113 is a document that explains your cash and food assistancerights and responsibilities in Washington.
Q: Who is this document for?
A: This document is for individuals who receive cash and food assistance in Washington.
Q: What does this document cover?
A: This document covers the rights and responsibilities of individuals receiving cash and food assistance.
Q: Can I get this document in Haitian Creole?
A: Yes, this document is available in Haitian Creole.
Q: What information does this document provide?
A: This document provides information about the eligibility requirements, application process, and rules for receiving cash and food assistance.
Q: What are my rights as a cash and food assistance recipient?
A: Your rights as a cash and food assistance recipient include the right to be treated with respect and dignity, the right to a fair and timely decision on your application or case, and the right to appeal any decision made by DSHS.
Q: What are my responsibilities as a cash and food assistance recipient?
A: Your responsibilities as a cash and food assistance recipient include providing complete, accurate, and truthful information, reporting any changes in your circumstances, and cooperating with DSHS.
Q: What happens if I don't meet my responsibilities?
A: If you don't meet your responsibilities, your cash and food assistance benefits may be reduced or discontinued.
Q: What should I do if I disagree with a decision made by DSHS?
A: If you disagree with a decision made by DSHS, you have the right to appeal. The document provides information on how tofile an appeal.
Form Details:
- Released on December 1, 2015;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Available in French;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a printable version of DSHS Form 14-113 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 14-113 Your Cash and Food Assistance Rights and Responsibilities - Washington (Haitian Creole)
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