DSHS Form 18-682 Detail Sheet - Uninsured Health Care Expenses - Washington (Cambodian)

DSHS Form 18-682 Detail Sheet - Uninsured Health Care Expenses - Washington (Cambodian)

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.

FAQ

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.

ADVERTISEMENT

Form Details:

  • Released on October 1, 2015;
  • 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 18-682 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 18-682 Detail Sheet - Uninsured Health Care Expenses - Washington (Cambodian)

4.4 of 5 (13 votes)
  • DSHS Form 18-682 Detail Sheet - Uninsured Health Care Expenses - Washington (Cambodian)

    1

  • DSHS Form 18-682 Detail Sheet - Uninsured Health Care Expenses - Washington (Cambodian), Page 2

    2

  • DSHS Form 18-682 Detail Sheet - Uninsured Health Care Expenses - Washington (Cambodian), Page 3

    3

  • DSHS Form 18-682 Detail Sheet - Uninsured Health Care Expenses - Washington (Cambodian), Page 1
  • DSHS Form 18-682 Detail Sheet - Uninsured Health Care Expenses - Washington (Cambodian), Page 2
  • DSHS Form 18-682 Detail Sheet - Uninsured Health Care Expenses - Washington (Cambodian), Page 3
Prev 1 2 3 Next
ADVERTISEMENT

Related Documents