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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 Forme 14-416
for the current year.
DSHS Form 14-416 Eligibility Review for Long Term Services and Supports - Washington (French)
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 French. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 14-416?
A: DSHS Form 14-416 is the Eligibility Review for Long Term Services and Supports in Washington.
Q: What is the purpose of DSHS Form 14-416?
A: The purpose of DSHS Form 14-416 is to determine eligibility for long term services and supports in Washington.
Q: Who needs to complete DSHS Form 14-416?
A: Individuals seeking long term services and supports in Washington may need to complete DSHS Form 14-416.
Q: Is DSHS Form 14-416 available in French?
A: Yes, DSHS Form 14-416 is available in French.
Form Details:
- Released on July 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;
Download a printable version of DSHS Forme 14-416 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 14-416 Eligibility Review for Long Term Services and Supports - Washington (French)
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