This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington.
The document is provided in Amharic. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is form HCA12-507?
A: Form HCA12-507 is an Administrative Hearing Request form.
Q: What is the purpose of this form?
A: The purpose of this form is to request an administrative hearing in Washington.
Q: Who can use this form?
A: This form can be used by individuals who wish to request an administrative hearing.
Q: What type of hearing does this form pertain to?
A: This form pertains to administrative hearings.
Q: Is this form specific to a particular state?
A: Yes, this form is specific to Washington state.
Q: Is this form available in Amharic?
A: Yes, this form is available in Amharic language.
Form Details:
Download a printable version of Form HCA12-507 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.