This is a legal form that was released by the Washington State Department of Health - 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 DOH Form 150-099?
A: DOH Form 150-099 is a benefit exception request form.
Q: What does Dap stand for in DOH Form 150-099?
A: Dap stands for Department of Health Assessment Program.
Q: Who can use DOH Form 150-099?
A: DOH Form 150-099 can be used by individuals in Washington state.
Q: What is the purpose of DOH Form 150-099?
A: The purpose of DOH Form 150-099 is to request a benefit exception.
Form Details:
Download a printable version of DOH Form 150-099 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.