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 Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 18-627?
A: DSHS Form 18-627 is the State Supplementary / Direct Payment Client Overpayment Notice form.
Q: What is the purpose of DSHS Form 18-627?
A: The purpose of DSHS Form 18-627 is to notify clients in Washington (Lao) about any overpayments they have received.
Q: Who is the form for?
A: The form is for clients who have received overpayments in Washington (Lao).
Q: What does the form contain?
A: The form contains information about the overpayment, including the amount and the reason for the overpayment.
Q: What are clients supposed to do after receiving the form?
A: After receiving the form, clients are required to take certain actions, such as repaying the overpayment or requesting a hearing if they disagree with the amount.
Q: Can clients get assistance with filling out the form?
A: Yes, clients can seek assistance from the Washington State Department of Social and Health Services (DSHS) or their local offices.
Q: Is there a deadline for responding to the overpayment notice?
A: Yes, clients are typically given a specific deadline for responding to the overpayment notice.
Q: What happens if a client fails to respond or repay the overpayment?
A: If a client fails to respond or repay the overpayment, DSHS may take further action, such as reducing future benefits or referring the debt to a collection agency.
Q: Are there any exceptions or special circumstances regarding overpayments?
A: There may be exceptions or special circumstances regarding overpayments, and clients are advised to contact DSHS for more information.
Q: What languages are the overpayment notices available in?
A: Overpayment notices are available in different languages, including Lao.
Q: What should clients do if they do not understand the notice or have questions?
A: Clients should contact DSHS or their local offices if they do not understand the notice or have any questions.
Q: Are there any penalties for intentionally providing false or misleading information?
A: Yes, there may be penalties for intentionally providing false or misleading information, including repayment of overpayments and possible legal consequences.
Q: Can clients request a hearing if they disagree with the overpayment?
A: Yes, clients have the right to request a hearing if they disagree with the overpayment.
Q: Is there any financial assistance available for repaying the overpayment?
A: Clients may be eligible for financial assistance programs to help repay the overpayment.
Form Details:
Download a printable version of DSHS Form 18-627 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.