Form preview

Get the free DSHS Publication #E25-13804

Get Form
DSS Publication #E2513804CHSTHCIC 1100 W. 49 Street M660 Austin Texas 78756 Phone 5124587261 www.dshs.state.tx.us/thcic health Facilities Numbered Letter, Volume 12 Number 1 January 22, 2009, System
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign dshs publication e25-13804

Edit
Edit your dshs publication e25-13804 form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your dshs publication e25-13804 form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing dshs publication e25-13804 online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Here are the steps you need to follow to get started with our professional PDF editor:
1
Check your account. In case you're new, it's time to start your free trial.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit dshs publication e25-13804. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
With pdfFiller, it's always easy to deal with documents.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out dshs publication e25-13804

Illustration

How to fill out dshs publication e25-13804

01
To fill out the DSHS Publication E25-13804, follow these steps:
02
Gather all the necessary information and documents required to complete the form.
03
Start by entering the personal information of the individual for whom the form is being filled out.
04
Provide details about the income and assets of the individual, as requested in the form.
05
If applicable, provide information about any assistance or benefits the individual is currently receiving.
06
Fill in the sections related to household and living expenses, such as rent, utilities, and medical costs.
07
Complete the remaining sections of the form, ensuring all required fields are filled accurately.
08
Double-check all the information provided to ensure it is correct and complete.
09
Sign and date the form at the designated place.
10
Submit the filled-out form as per the instructions provided by DSHS.

Who needs dshs publication e25-13804?

01
DSHS Publication E25-13804 is needed by individuals who are applying for or seeking assistance or benefits from the Department of Social and Health Services (DSHS) in Washington State.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.6
Satisfied
51 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

It's easy to use pdfFiller's Gmail add-on to make and edit your dshs publication e25-13804 and any other documents you get right in your email. You can also eSign them. Take a look at the Google Workspace Marketplace and get pdfFiller for Gmail. Get rid of the time-consuming steps and easily manage your documents and eSignatures with the help of an app.
pdfFiller has made filling out and eSigning dshs publication e25-13804 easy. The solution is equipped with a set of features that enable you to edit and rearrange PDF content, add fillable fields, and eSign the document. Start a free trial to explore all the capabilities of pdfFiller, the ultimate document editing solution.
No, you can't. With the pdfFiller app for iOS, you can edit, share, and sign dshs publication e25-13804 right away. At the Apple Store, you can buy and install it in a matter of seconds. The app is free, but you will need to set up an account if you want to buy a subscription or start a free trial.
dshs publication e25-13804 is a form issued by the Department of Social and Health Services (DSHS) for reporting information related to certain programs.
Providers and organizations participating in programs administered by DSHS are required to file dshs publication e25-13804.
DSHS provides detailed instructions on how to fill out dshs publication e25-13804 on their official website.
The purpose of dshs publication e25-13804 is to collect and report data necessary for program administration and evaluation.
Providers are required to report information such as services provided, client demographics, and program outcomes on dshs publication e25-13804.
Fill out your dshs publication e25-13804 online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.