DSHS Form 14-225 Acknowledgement of Services - Washington (Hmong)

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 14-225 for the current year.

DSHS Form 14-225 Acknowledgement of Services - Washington (Hmong)

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 Hmong. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 14-225?
A: DSHS Form 14-225 is the Acknowledgement of Services form used in Washington.

Q: Who uses DSHS Form 14-225?
A: This form is used by individuals receiving services from the Washington State Department of Social and Health Services (DSHS) who speak Hmong.

Q: What is the purpose of DSHS Form 14-225?
A: The purpose of this form is to acknowledge and document the services provided by DSHS to Hmong-speaking individuals.

Q: Do I need to fill out DSHS Form 14-225?
A: If you are a Hmong-speaking individual receiving services from DSHS in Washington, you may be required to fill out this form.

Q: What information is required on DSHS Form 14-225?
A: The form requires basic information such as your name, address, case number, and a statement acknowledging that you have received services from DSHS.

Q: Are there any fees associated with DSHS Form 14-225?
A: No, there are no fees associated with this form.

Q: What should I do with DSHS Form 14-225 once it is filled out?
A: You should submit the completed form to the appropriate DSHS office or caseworker.

Q: Can I request assistance in filling out DSHS Form 14-225?
A: Yes, you can request assistance from DSHS or seek help from a translator or interpreter to fill out this form.

Q: Is DSHS Form 14-225 available in languages other than Hmong?
A: No, this form is specifically designed for Hmong-speaking individuals.

ADVERTISEMENT

Form Details:

  • Released on February 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 14-225 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 14-225 Acknowledgement of Services - Washington (Hmong)

4.4 of 5 (15 votes)
  • DSHS Form 14-225 Acknowledgement of Services - Washington (Hmong)

    1

  • DSHS Form 14-225 Acknowledgement of Services - Washington (Hmong), Page 2

    2

  • DSHS Form 14-225 Acknowledgement of Services - Washington (Hmong), Page 1
  • DSHS Form 14-225 Acknowledgement of Services - Washington (Hmong), Page 2
Prev 1 2 Next
ADVERTISEMENT

Related Documents