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 Cambodian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 18-682?
A: DSHS Form 18-682 is a Detail Sheet for Uninsured Health Care Expenses in Washington, specifically for Cambodians.
Q: Who is this form for?
A: This form is specifically for Cambodians residing in Washington who need to report their uninsured health care expenses.
Q: What is the purpose of Form 18-682?
A: The purpose of this form is to provide detailed information about uninsured health care expenses to the Washington State Department of Social and Health Services (DSHS).
Q: Is this form only applicable for Cambodians?
A: Yes, this form is specifically designed for Cambodians residing in Washington who need to report their uninsured health care expenses.
Form Details:
Download a printable version of DSHS Form 18-682 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.