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DSHS Form 13-734 Documentation of First Use of Medicaid Benefits - Washington (English / Cambodian)
What Is DSHS Form 13-734?
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 13-734?
A: DSHS Form 13-734 is a document used in Washington to document the first use of Medicaid benefits.
Q: Who uses DSHS Form 13-734?
A: This form is used by individuals in Washington who have used Medicaid benefits for the first time.
Q: What is the purpose of DSHS Form 13-734?
A: The purpose of this form is to document and verify the first use of Medicaid benefits in Washington.
Q: Is DSHS Form 13-734 available in multiple languages?
A: Yes, it is available in English and Cambodian.
Form Details:
- Released on June 1, 2008;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Available in Chinese;
- 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 13-734 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 13-734 Documentation of First Use of Medicaid Benefits - Washington (English / Cambodian)
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