Form HCA14-539 Revocable Burial Fund Provision for Ssi Related Healthcare - Washington

Form HCA14-539 Revocable Burial Fund Provision for Ssi Related Healthcare - Washington

What Is Form HCA14-539?

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.

FAQ

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.

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Form Details:

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

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.

Download Form HCA14-539 Revocable Burial Fund Provision for Ssi Related Healthcare - Washington

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  • Form HCA14-539 Revocable Burial Fund Provision for Ssi Related Healthcare - Washington, Page 1
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