This version of the form is not currently in use and is provided for reference only. Download this version of Form HCA20-0061 for the current year.
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 HCA20-0061?
A: Form HCA20-0061 is the Sebb Certification of a Child With a Disability form in Washington.
Q: What is the purpose of Form HCA20-0061?
A: The purpose of Form HCA20-0061 is to certify a child with a disability for the Sebb program in Washington.
Q: Who should fill out Form HCA20-0061?
A: The parent or guardian of the child with a disability should fill out Form HCA20-0061.
Q: What information is required on Form HCA20-0061?
A: Form HCA20-0061 requires information about the child's disability and the parent or guardian's contact information.
Q: What if I need help filling out Form HCA20-0061?
A: If you need help filling out Form HCA20-0061, you can contact the Washington State Health Care Authority for assistance.
Q: What happens after I submit Form HCA20-0061?
A: After you submit Form HCA20-0061, the Washington State Health Care Authority will review the form and determine if the child is eligible for the Sebb program.
Q: Can I appeal if my child's certification is denied?
A: Yes, if your child's certification is denied, you have the right to appeal the decision.
Form Details:
Download a fillable version of Form HCA20-0061 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.