This is a legal form that was released by the Washington State Health Care Authority - 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 Form HCA14-539?
A: Form HCA14-539 is the Revocable Burial Fund Provision for SSI Related Healthcare in Washington.
Q: What is the purpose of Form HCA14-539?
A: The purpose of Form HCA14-539 is to provide a provision for revocable burial funds related to healthcare for individuals receiving Supplemental Security Income (SSI) in Washington.
Q: Who needs to fill out Form HCA14-539?
A: Individuals receiving Supplemental Security Income (SSI) in Washington who want to set aside funds for burial expenses while maintaining eligibility for healthcare benefits need to fill out Form HCA14-539.
Q: Is the Revocable Burial Fund Provision for SSI Related Healthcare only applicable in Washington?
A: Yes, the Revocable Burial Fund Provision for SSI Related Healthcare is specific to Washington state.
Q: What is the benefit of having a revocable burial fund for individuals receiving SSI?
A: Having a revocable burial fund allows individuals receiving SSI to set aside funds for their burial expenses while maintaining eligibility for healthcare benefits.
Form Details:
Download a printable version of Form HCA14-539 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.