Form HCA50-0704 Pebb Declaration of Tax Status - Washington

What Is Form HCA50-0704?

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 HCA50-0704 Pebb Declaration of Tax Status - Washington?
A: Form HCA50-0704 Pebb Declaration of Tax Status - Washington is a form used by residents of Washington state to declare their tax status for the Public Employees Benefits Board (PEBB) program.

Q: Who needs to fill out Form HCA50-0704 Pebb Declaration of Tax Status - Washington?
A: Any individual who is applying for or currently enrolled in the PEBB program in Washington state needs to fill out this form to declare their tax status.

Q: What information is required on Form HCA50-0704 Pebb Declaration of Tax Status - Washington?
A: The form requires your personal information, such as your name, Social Security number, address, and tax filing status. You may also need to provide additional documentation to support your tax status declaration.

Q: Why do I need to fill out Form HCA50-0704 Pebb Declaration of Tax Status - Washington?
A: This form is necessary for the Washington State Health Care Authority (HCA) to determine your eligibility for specific tax credits and subsidies related to the PEBB program.