WA DSHS 14-078 2018 free printable template
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DSHS 14-078 REV. 01/2018 Page 1 Immigration Status and Social Security Numbers You may get assistance for some people you live with even if others you live with can t because of their household members may be verified by USCIS formerly known as INS. See www. dshs. wa.gov for locations. Mail your review to one of the following DSHS CSD-Customer Service Center Home and Community Services Long Term Care Services PO Box 11699 PO Box 45826 Tacoma WA 98411-6699 Olympia WA 98504-5826 You can fill...
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How to fill out WA DSHS 14-078
01
Obtain the WA DSHS 14-078 form from the Washington Department of Social and Health Services website or local office.
02
Read the instructions carefully before starting to fill out the form.
03
Fill in your personal information, including your name, address, and contact details.
04
Provide information about your household, including all members and their income sources.
05
Indicate the specific services or assistance you are applying for.
06
Review your answers for accuracy and completeness.
07
Sign and date the form at the designated area.
08
Submit the completed form to the appropriate DSHS office, either in person or via mail.
Who needs WA DSHS 14-078?
01
Individuals or families seeking support or assistance from the Washington Department of Social and Health Services, such as financial aid or food assistance.
02
People experiencing financial hardship who need to apply for aid programs.
03
Those who are required to report their household information for eligibility assessments.
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What is WA DSHS 14-078?
WA DSHS 14-078 is a form used by the Washington State Department of Social and Health Services for reporting certain information as part of a specific program or regulatory requirement.
Who is required to file WA DSHS 14-078?
Individuals and organizations involved in activities that fall under the jurisdiction of the Washington State Department of Social and Health Services are generally required to file WA DSHS 14-078.
How to fill out WA DSHS 14-078?
To fill out WA DSHS 14-078, provide accurate information in all required fields, ensuring that you follow the instructions provided with the form to meet all filing requirements.
What is the purpose of WA DSHS 14-078?
The purpose of WA DSHS 14-078 is to collect necessary information for compliance and reporting under various programs or regulations managed by the Department.
What information must be reported on WA DSHS 14-078?
WA DSHS 14-078 requires reporting information such as personal identification details, program participation, and any relevant financial data as mandated by the department.
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