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This version of the form is not currently in use and is provided for reference only. Download this version of
DCYF Form 14-011
for the current year.
DCYF Form 14-011 Enrollment Application Medical and Dental Benefits - Washington
What Is DCYF Form 14-011?
This is a legal form that was released by the Washington State Department of Children, Youth, and Families - 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 DCYF Form 14-011?
A: The DCYF Form 14-011 is an Enrollment Application for Medical and Dental Benefits in Washington.
Q: Who can use the DCYF Form 14-011?
A: The DCYF Form 14-011 can be used by individuals in Washington who are seeking enrollment in medical and dental benefits.
Q: What is the purpose of the DCYF Form 14-011?
A: The purpose of the DCYF Form 14-011 is to apply for enrollment in medical and dental benefits in Washington.
Q: Is the DCYF Form 14-011 mandatory?
A: No, the DCYF Form 14-011 is not mandatory. It is optional and can be used to apply for medical and dental benefits in Washington.
Q: What information is required on the DCYF Form 14-011?
A: The DCYF Form 14-011 requires information such as personal details, income information, and household information to determine eligibility for medical and dental benefits.
Q: Are there any fees associated with the DCYF Form 14-011?
A: No, there are no fees associated with the DCYF Form 14-011.
Q: How long does it take to process the DCYF Form 14-011?
A: The processing time for the DCYF Form 14-011 may vary, but it generally takes a few weeks to receive a response.
Q: Who can I contact for assistance with the DCYF Form 14-011?
A: You can contact the Washington State Department of Children, Youth, and Families for assistance with the DCYF Form 14-011.
Form Details:
- Released on April 1, 2021;
- The latest edition provided by the Washington State Department of Children, Youth, and Families;
- 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 fillable version of DCYF Form 14-011 by clicking the link below or browse more documents and templates provided by the Washington State Department of Children, Youth, and Families.
