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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 04-452
for the current year.
DSHS Form 04-452 Dshs Community Services Survey - Washington
What Is DSHS Form 04-452?
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 Form 04-452?
A: DSHS Form 04-452 is a Community Services Survey in Washington.
Q: What is the purpose of the Community Services Survey?
A: The purpose of the Community Services Survey is to collect information about public assistance programs in Washington.
Q: Who is required to complete DSHS Form 04-452?
A: Recipients of public assistance programs in Washington are required to complete DSHS Form 04-452.
Q: What information is required on DSHS Form 04-452?
A: DSHS Form 04-452 requires information about household composition, income, assets, and expenses.
Q: How often do I need to complete DSHS Form 04-452?
A: The frequency of completing DSHS Form 04-452 depends on the public assistance program you are enrolled in. Contact DSHS for specific details.
Q: Is DSHS Form 04-452 confidential?
A: Yes, the information provided on DSHS Form 04-452 is confidential and protected by law.
Q: What happens if I don't complete DSHS Form 04-452?
A: Failure to complete DSHS Form 04-452 may result in a delay or termination of public assistance benefits.
Q: Can I get help completing DSHS Form 04-452?
A: Yes, you can contact DSHS for assistance with completing DSHS Form 04-452.
Q: What other forms may be required by DSHS?
A: Depending on your specific situation, you may be required to complete additional forms as requested by DSHS.
Form Details:
- Released on December 1, 2020;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- 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 04-452 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
