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DEPARTMENT OF SOCIAL AND HEALTH SERVICES CHILDREN ADMINISTRATIONFinancial Worksheet APPLICANT NAME(S)Income List all regular net income, including but not limited to wages, Social Security, unemployment,
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DSHS WA stands for Washington State Department of Social and Health Services WorkFirst Program.
Individuals who are seeking assistance through the WorkFirst Program are required to file DSHS WA.
You can fill out DSHS WA online through the Washington Connection website or by completing a paper form and submitting it to the local DSHS office.
The purpose of DSHS WA is to determine eligibility for the WorkFirst Program and provide assistance to individuals in need.
DSHS WA requires information about household income, expenses, assets, and other factors that may affect eligibility for the program.
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