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.
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.
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: What does this form do?
A: This form is used to apply for medical and dental benefits in Washington through the DCYF.
Q: Who can use this form?
A: This form is for individuals who want to apply for medical and dental benefits through the DCYF in Washington.
Q: What information is needed on the form?
A: The form requires personal information, income details, and other information about the applicant and their household members.
Q: Is there a fee for submitting this form?
A: No, there is no fee for submitting the DCYF Form 14-011.
Q: Can I apply for benefits for someone else using this form?
A: Yes, you can apply for benefits for someone else using this form, provided you have the necessary information and are authorized to do so.
Q: How long does it take to process this application?
A: The processing time for the DCYF Form 14-011 application can vary, but it typically takes about 45 days for a decision to be made.
Q: What should I do if I have questions about this form or the application process?
A: If you have questions about the DCYF Form 14-011 or the application process, you can contact the DCYF offices for assistance.
Form Details:
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.