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 Persian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 14-144A?
A: DSHS Form 14-144A is a Disability Report used in Washington.
Q: Who should fill out DSHS Form 14-144A?
A: This form should be filled out by individuals in Washington who are applying for disability benefits.
Q: What information is required on DSHS Form 14-144A?
A: The form asks for personal information, details about the disability, medical history, and employment information.
Q: What should I do with the completed DSHS Form 14-144A?
A: You should submit the completed form to the Washington State Department of Social and Health Services (DSHS) as part of your disability benefits application.
Form Details:
Download a printable version of DSHS Form 14-144A by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.