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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 27-189
for the current year.
DSHS Form 27-189 Asset Verification Authorization (Home and Community Services) - Washington
What Is DSHS Form 27-189?
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 the DSHS Form 27-189?
A: The DSHS Form 27-189 is the Asset Verification Authorization form for Home and Community Services in Washington.
Q: What is Home and Community Services?
A: Home and Community Services is a program in Washington that provides support and assistance to individuals who need help with daily activities and want to remain in their homes or communities.
Q: Why do I need to fill out the DSHS Form 27-189?
A: You need to fill out the DSHS Form 27-189 to authorize the verification of your assets for eligibility determination in the Home and Community Services program.
Q: What information is required on the DSHS Form 27-189?
A: The DSHS Form 27-189 requires you to provide personal information such as your name, address, and social security number, as well as information about your assets and income.
Form Details:
- Released on April 1, 2020;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Available in Lao;
- 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 27-189 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
