Get the free dshs form 18 097 - dshs wa

STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES DIVISION OF CHILD SUPPORT (DCS) CUSTODIAL PARENT'S NAME STATEMENT OF RESOURCES AND EXPENSES NONCUSTODIAL PARENT'S NAME IV-D CASE NUMBER

How to fill out dshs form 18 097

How to fill out dshs form 18 097:

1. First, gather all required information and documents such as income statements, identification proof, and any supporting documentation.
2. Start filling out the form by entering your personal details accurately, including your full name, address, contact information, and social security number.
3. Provide information about your household composition by listing the names, ages, and relationship of all the individuals living with you.
4. Indicate your monthly income by reporting all sources of income, such as wages, benefits, or assistance programs you receive.
5. If applicable, provide information about any expenses related to childcare, medical expenses, or bills that you need to deduct from your monthly income.
6. Read and answer all the questions on the form accurately, ensuring that you provide complete and honest information.
7. After completing the form, review it carefully to ensure that all the information provided is accurate and legible.
8. Sign and date the form in the designated areas.
9. Attach any necessary documents or supporting evidence as requested by the form.
10. Make copies of the completed form and supporting documents for your records.

Who needs dshs form 18 097:

1. Individuals or households who are seeking various assistance programs or benefits provided by the Washington State Department of Social and Health Services (DSHS).
2. Those who require financial or medical assistance, childcare subsidies, food assistance, or other social services may need to fill out dshs form 18 097.
3. It is essential for individuals who have experienced a change in their financial circumstances or household composition to update their information by completing this form.

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What is dshs form 18 097?

DSHS Form 18-097 is a document used by the Texas Department of State Health Services to report certain incidents or events.

Who is required to file dshs form 18 097?

Healthcare facilities, clinics, hospitals, and other healthcare providers are required to file DSHS Form 18-097.

How to fill out dshs form 18 097?

To fill out DSHS Form 18-097, the healthcare provider must provide specific information about the incident or event being reported.

What is the purpose of dshs form 18 097?

The purpose of DSHS Form 18-097 is to ensure that certain incidents or events in healthcare settings are properly documented and reported.

What information must be reported on dshs form 18 097?

The information that must be reported on DSHS Form 18-097 includes details about the incident, the individuals involved, and the actions taken in response.