DSHS Form 02-611 Statement of Understanding: Mid-certification Review - Washington (Haitian Creole)

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.

The document is provided in Haitian Creole. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 02-611?
A: DSHS Form 02-611 is a statement of understanding for a mid-certification review.

Q: What is a mid-certification review?
A: A mid-certification review is a review conducted during the middle of a certification period to determine ongoing eligibility for benefits.

Q: Who needs to complete DSHS Form 02-611?
A: Anyone who is receiving benefits and is selected for a mid-certification review needs to complete this form.

Q: What language is this form available in?
A: This form is available in Haitian Creole for residents in Washington.

Q: Why is this form important?
A: This form is important because it ensures that individuals receiving benefits are still eligible and provides updated information to determine ongoing eligibility.

Q: When should I complete this form?
A: You should complete this form when you are selected for a mid-certification review and within the given time period specified by DSHS.

Q: What happens if I don't complete this form?
A: If you don't complete this form, your benefits may be affected and you may no longer be eligible to receive them.

Q: What information do I need to provide on this form?
A: You need to provide updated information about your household, income, assets, and any changes in your circumstances since your initial certification.