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WA DSHS 14-001 2011 free printable template

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How to fill out WA DSHS 14-001

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How to fill out WA DSHS 14-001

01
Obtain the WA DSHS 14-001 form from the official DSHS website or local office.
02
Fill in your personal information including name, address, and contact details in the designated fields.
03
Provide details of your household size and composition, including names and relationships of family members.
04
Complete the financial information section by listing all sources of income and expenses.
05
Sign and date the form at the bottom to certify that the information provided is true and accurate.
06
Submit the completed form as directed, either online, by mail, or in person at your local DSHS office.

Who needs WA DSHS 14-001?

01
Individuals and families seeking assistance with financial support programs in Washington State.
02
People applying for programs such as food assistance, cash assistance, or medical assistance.
03
Anyone who has experienced a change in circumstances affecting their eligibility for state assistance.
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People Also Ask about

Who is eligible for this program? Household Size*Maximum Income Level (Per Year)1$27,1802$36,6203$46,0604$55,5004 more rows
How to Apply For Basic Food Benefits: You can apply for Basic Food Assistance online, by phone at 877-501-2233 or at your local Community Services Office.
Income limit for the SNAP program One person in the household: $25,760. Two people in the household: $34,840. Three people in the household: $43,920.
For example, if we needed proof of who you are, you could provide us a driver's license, a birth certificate, or a passport. Any of these items would prove to us who you are. Common things we need to verify are: Identity.
Compose your message and add any file attachments by clicking Add attachment button and browsing to the file. Click send to send the message securely to DSHS. If you wish to save an unsent message to be completed or sent later, you can save the message as a draft. New draft messages are saved to the Drafts folder.
Washington State Department of Social and Health Services.
Generally, most food stamp and TANF cash benefits are processed within 30 days.
Services are available at your local Community Services Office and by phone through the Customer Service Contact Center at 877-501-2233: TTY/TDD users dial 1-800-833-6384 for Washington Relay Service. Apply for benefits or submit documents. 9 a.m. to 4 p.m.: Pick up an EBT card in the office.
Basic Food Allotment 15% Increase- Maximum allotments for food assistance were increased by 15% from January 2021 to Sept. 30, 2021 as approved by U.S. Congress.
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.
Most DSHS offices are open 8 a.m. to 5 p.m. Monday through Friday and closed weekends and holidays.
Did you lose your EBT Card, or need to report a stolen EBT card? Call Fidelity Information Services (FIS) at 1-888-328-9271. A replacement card will be mailed to you within 5-10 business days. You can also check your EBT account by going to the Fidelity Information Services EBT Account website.
Gross monthly income — that is, household income before any of the program's deductions are applied — generally must be at or below 130 percent of the poverty line. For a family of three, the poverty line used to calculate SNAP benefits in federal fiscal year 2023 is $1,920 a month.
The State of Washington Secure Email Portal (Secure Email Portal) is a secure way to compose, receive, view, reply to and forward encrypted messages over the Internet. Messages are encrypted individually for each recipient and include a certified time stamp.
Services are available at your local Community Services Office and by phone through the Customer Service Contact Center at 877-501-2233: TTY/TDD users dial 1-800-833-6384 for Washington Relay Service. Apply for benefits or submit documents. 9 a.m. to 4 p.m.: Pick up an EBT card in the office.

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WA DSHS 14-001 is a form used in the state of Washington for reporting certain information related to clients and services provided by the Department of Social and Health Services (DSHS).
Individuals or organizations that provide services funded by DSHS, including contractors and service providers, are required to file WA DSHS 14-001.
To fill out WA DSHS 14-001, follow the instructions provided on the form, ensuring you include all necessary information, such as client details, services provided, and any required signatures.
The purpose of WA DSHS 14-001 is to collect and maintain accurate records regarding the services provided and the client information necessary for the administration and oversight of DSHS programs.
The information required to be reported on WA DSHS 14-001 includes client demographics, service details, provider information, and any other relevant data as specified in the form instructions.
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