DSHS Form 27-189 Asset Verification Authorization - Washington (Lao)

DSHS Form 27-189 Asset Verification Authorization - Washington (Lao)

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.

FAQ

Q: What is the DSHS Form 27-189?
A: The DSHS Form 27-189 is an Asset Verification Authorization form used in Washington.

Q: What is the purpose of the form?
A: The form is used to authorize the Washington State Department of Social and Health Services (DSHS) to verify an individual's assets for eligibility determination.

Q: Who needs to fill out the form?
A: Anyone applying for or receiving certain benefits from DSHS may need to fill out this form.

Q: How do I fill out the form?
A: The form requires you to provide personal information, such as your name, date of birth, and social security number, as well as information about your assets.

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Form Details:

  • Released on January 1, 2021;
  • 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;

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.

Download DSHS Form 27-189 Asset Verification Authorization - Washington (Lao)

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  • DSHS Form 27-189 Asset Verification Authorization - Washington (Lao), Page 1
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