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 Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form HCA12-511?
A: Form HCA12-511 is an Administrative Hearing Request for the state of Washington.
Q: What is the purpose of Form HCA12-511?
A: The purpose of Form HCA12-511 is to request an administrative hearing in the state of Washington.
Q: Who can use Form HCA12-511?
A: Anyone in Washington state who wants to request an administrative hearing can use Form HCA12-511.
Q: Is Form HCA12-511 available in languages other than English?
A: Yes, Form HCA12-511 is available in other languages, including Lao.
Form Details:
Download a printable version of Form HCA12-511 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.