Form HCA20-0061 Sebb Certification of a Child With a Disability - Washington

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Form HCA20-0061 Sebb Certification of a Child With a Disability - Washington

What Is Form HCA20-0061?

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 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 as having a disability for the School Employees Benefits Board (SEBB) program in Washington.

Q: Who needs to complete Form HCA20-0061?
A: Form HCA20-0061 needs to be completed by parents or legal guardians of a child with a disability who are applying for benefits under the SEBB program in Washington.

Q: What information is required on Form HCA20-0061?
A: Form HCA20-0061 requires information about the child's disability, including the diagnosis, treatment, and limitations it presents, as well as information about the child's educational setting and any special education services received.

Q: Are there any deadlines for submitting Form HCA20-0061?
A: Yes, the form must be submitted within 60 days of the child becoming eligible for SEBB benefits or within 60 days of a qualifying event.

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Form Details:

  • Released on September 1, 2022;
  • The latest edition provided by the Washington State Health Care Authority;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

Download Form HCA20-0061 Sebb Certification of a Child With a Disability - Washington

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