DOH Form 150-099 Prep Dap Benefit Exception Request - Washington

DOH Form 150-099 Prep Dap Benefit Exception Request - Washington

What Is DOH Form 150-099?

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.

FAQ

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.

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Form Details:

  • Released on November 1, 2017;
  • The latest edition provided by the Washington State Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

Download DOH Form 150-099 Prep Dap Benefit Exception Request - Washington

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