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WA DSHS 14-467 2016 free printable template

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MidCertification Review To keep getting benefits, you must complete your midcertification review by mail, dropoff, or phone. For Cash: Answer every question; Provide proof of income; Provide proof
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How to fill out WA DSHS 14-467

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How to fill out WA DSHS 14-467

01
Obtain the WA DSHS 14-467 form from the Washington State Department of Social and Health Services website or local office.
02
Read the instructions provided with the form to understand the required information.
03
Fill in your personal details in the designated sections, including your name, address, and contact information.
04
Specify the type of services or assistance you are requesting in the appropriate field.
05
Provide any necessary documentation or evidence supporting your request, as specified in the instructions.
06
Double-check all the information for accuracy and completeness before submitting.
07
Submit the completed form to the appropriate DSHS office or online portal as directed.

Who needs WA DSHS 14-467?

01
Individuals seeking financial assistance, food benefits, or medical support from the Washington State Department of Social and Health Services.
02
Families needing help with assistance programs for children, elderly, or individuals with disabilities in Washington State.
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People Also Ask about

A mid-certification review (MCR) is: Due six months into your 12-month certification period unless: Your assistance unit has a certification period six months or less, or. All adults in your assistance unit are elderly or disabled and have no earned income.
Around the end of your SNAP benefit period, you will get a recertification packet in the mail. You will need to complete this, return it to the Family Support Division, and complete an interview to continue getting SNAP benefits.
You can check the status of a paper application or an application that was completed in person on the Documents Submitted page once you have created a CBA. You can also visit a local office or call the Customer Service Contact Center at 1-877-501-2233.
We try to process your application as quickly as possible. A lot depends on how soon we're able to get the information we need to determine if you're eligible. Generally, most food stamp and TANF cash benefits are processed within 30 days.
To renew online, you must identify yourself by entering your Social Security Number, County/Case Record, and Renewal Due Date. Your County/Case Record and your Renewal Due Date are on the renewal notice. If you have any questions about renewing online, please contact your County Assistance Office.
You can renew your benefits online with a Washington Connection account. If you'd rather renew in person, call your caseworker, local office, or Washington's Customer Service Contact Center (1-877-501-2233) to find out how.
If you applied online or need assistance with an online application, call the FSD Contact Center, 855-373-9994.

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WA DSHS 14-467 is a form used by the Washington State Department of Social and Health Services, typically for reporting and documenting specific information related to social or health services.
Individuals or organizations that are involved in providing services or financial assistance related to public assistance programs may be required to file WA DSHS 14-467.
To fill out WA DSHS 14-467, follow the instructions provided on the form itself, ensuring to provide accurate and complete information related to the services or assistance being reported.
The purpose of WA DSHS 14-467 is to collect necessary information to ensure compliance with state regulations and to facilitate the administration of social and health services.
The information that must be reported on WA DSHS 14-467 includes details about the services provided, the demographic information of clients, and any relevant financial data pertaining to the assistance given.
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